A Study of Pituitary Adenoma Surgery: Transphenoidal Microscopic Versus Endoscopic Endonasal Approach

Bangladesh Journal of Neuroscience Pub Date : 2015-01-31 DOI:10.3329/bjn.v31i1.57372

H. Nath, K. Barua, K. H. Uddin, Monirul Islam, O. Faruque, Atiqur Rahman, S. Bari, Rahul Quddus

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Abstract

Background: Transphenoidal endoscopic approach is minimal invasive surgery in case of pituitary adenoma. Objective : To see the outcome of transphenoidal endoscopic and microscopic approach in case of pituitary tumor. Results : This study showed among the 37 patients, 25 (67.6%) were done by transphenoidal microscopic approach and 12 (32.4%) patients were done by endonasal endoscopic approach. Among the 12 patients 8(66.7%) were male and 4(33.3%) were female. Among the 25, patients 15(60%) were male and 10(40%) were female. It was documented that in 12 patients, 10(83.3%) were macroadenoma and 2(16.7%) were microadenoma. It was evident that among the 25 patient 18(72%) were macroadenoma and 7(28%) were microadenoma. Among 12 patients, 11 (91.7%) had preoperative visual disturbance and 1(8.3%) had normal vision. It was observed that among 25 patients, 23(92%) patients had preoperative visual disturbance and 2 (8%) patients had normal vision. Tumor was totally removed in 9(75%) patients in endoscopic approach and 14(56%) in microscopic approach. Clinically 10(83.3%) patients were improved in endoscopically and 16(64%) patients were improved in microscopic group. Conclusion: It was concluded that endoscopic endonasal approach is better than transphenoidal microscopic approach. Bangladesh Journal of Neuroscience 2015; Vol. 31 (1): 21-29

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垂体腺瘤手术的研究:经蝶窦显微与鼻内内镜入路

背景:经蝶窦内镜入路是治疗垂体腺瘤的微创手术。目的:探讨经蝶窦入路和镜下入路治疗垂体肿瘤的效果。结果:本组37例患者中，经蝶窦镜入路25例(67.6%)，经鼻内镜入路12例(32.4%)。12例中男性8例(66.7%)，女性4例(33.3%)。25例患者中男性15例(60%)，女性10例(40%)。12例患者中，大腺瘤10例(83.3%)，微腺瘤2例(16.7%)。25例患者中，大腺瘤18例(72%)，微腺瘤7例(28%)。12例患者术前视力障碍11例(91.7%)，视力正常1例(8.3%)。25例患者术前视力障碍23例(92%)，视力正常2例(8%)。内镜入路9例(75%)肿瘤完全切除，镜下入路14例(56%)肿瘤完全切除。临床内镜下改善10例(83.3%)，镜下改善16例(64%)。结论:经鼻内镜入路优于经蝶窦镜检入路。孟加拉国神经科学杂志2015;Vol. 31 (1): 21-29

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Bangladesh Journal of Neuroscience

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