Surgical treatment of pituitary apoplexy through endoscopic endonasal transsphenoida / 临床耳鼻咽喉头颈外科杂志

ABSTRACT

OBJECTIVE@#To evaluate the transsphenoidal endoscopic endonasal approach for the surgical treatment of pituitary apoplexy (PA).@*METHOD@#A retrospective analysis was conducted over the clinical data of 42 pathologically diagnosed of PA after transsphenoidal endoscopic endonasal approach for the resection. CT scan, MRI scan and endocrinological examinations were performed in all case before operation. Glucocorticoids were used during perioperatve period. The postoperation symptoms and the results follow-up visit after operation were recorded.@*RESULT@#The tumors were totally removed in 36 cases and subtotally removed in 6 cases. In follow-up period from half a year to 13 years, headaches were resolved in 100%, visual interference were resolved in 91.9%, pituitary dysfunction were resolved in 77.3%. Without operative death and serious complications. No patient recurred.@*CONCLUSION@#We concluded that the transsphenoidal endoscopic endonasal approach is a safe, effective and microsurgery treatment of PA.