[Diagnosis and new treatment options for pituitary adenomas].

Q4 Medicine
A Yu Grigoriev, V N Azizyan, O V Ivashchenko, G Yu Starkov
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引用次数: 0

Abstract

Currently, the treatment of pituitary adenomas is inextricably linked with transsphenoidal neurosurgical intervention. Modern technologies used in surgery for this pituitary pathology, such as endoscopy using angled optics, as well as the use of specialized instruments, sealing and hemostatic materials, increase the effectiveness of surgical treatment of pituitary adenomas and reduce the incidence of intraand postoperative complications. The development of radiation methods of diagnostics, such as MRI, makes it possible to more accurately identify the formation of the pituitary gland, assess its size, direction of growth, and the degree of invasion of surrounding tissues. The authors of the article described in detail the modern technique of transsphenoidal removal of pituitary adenoma using an endoscope. Each stage of the operation is described step by step, taking into account various anatomical features and illustrated. This article discusses the MRI characteristics of pituitary adenomas: size of the tumor, the direction of its growth, the degree of invasion of the cavernous sinuses, the compression effect on the structures of the chiasmal-sellar region. The use of treatment methods, knowledge of the features of MRI diagnostics described in this article greatly increase the effectiveness of the treatment of patients with pituitary adenomas and reduce the risk of complications after neurosurgical intervention in such patients.

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[垂体腺瘤的诊断和新治疗方案]。
目前,垂体腺瘤的治疗与经蝶神经外科干预密不可分。在垂体病理学手术中使用的现代技术,如使用角度光学的内窥镜,以及专用器械、密封和止血材料的使用,提高了垂体腺瘤手术治疗的有效性,降低了术中和术后并发症的发生率。核磁共振成像等放射诊断方法的发展使人们有可能更准确地确定垂体的形成,评估其大小、生长方向和对周围组织的侵犯程度。文章作者详细描述了使用内窥镜经蝶窦切除垂体腺瘤的现代技术。文章结合各种解剖学特征,逐步描述了手术的每个阶段,并配有图解。本文讨论了垂体腺瘤的磁共振成像特征:肿瘤大小、生长方向、对海绵窦的侵犯程度、对椎管-星状区结构的压迫效应。利用本文所述的治疗方法和磁共振成像诊断特征知识,可大大提高垂体腺瘤患者的治疗效果,并降低此类患者神经外科干预后出现并发症的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Problemy endokrinologii
Problemy endokrinologii Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
1.40
自引率
0.00%
发文量
59
期刊介绍: Since 1955 the “Problems of Endocrinology” (or “Problemy Endocrinologii”) Journal publishes timely articles, balancing both clinical and experimental research, case reports, reviews and lectures on pressing problems of endocrinology. The Journal is aimed to the most topical issues of endocrinology: to chemical structure, biosynthesis and metabolism of hormones, the mechanism of their action at cellular and molecular level; pathogenesis and to clinic of the endocrine diseases, new methods of their diagnostics and treatment. The Journal: features original national and foreign research articles, reflecting world endocrinology development; issues thematic editions on specific areas; publishes chronicle of major international congress sessions and workshops on endocrinology, as well as state-of-the-art guidelines; is intended for scientists, endocrinologists diabetologists and specialists of allied trade, general practitioners, family physicians and pediatrics.
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