垂体切除术

All patient all goes MRI scanning, diagnose for hypophysis tumour, use general anesthesia, in bazoo of the classics below the lens inside nerve tumour of butterfly antrum travel is blown suck resection.

全部患者均行MRI扫描，诊断为垂体瘤，并采用全身麻醉，在神经内镜下经鼻蝶窦行肿瘤刮吸切除术。

Removal of theadrenal glands is an obligate choice if pituitary-directed treatments failed orare inexpedient and/or steroid synthesis inhibitors yield poor results.

双侧肾上腺切除术对此类患者长期治愈没有好处，应为CT或MRI未见异常的CD患者在垂体探查术和药物治疗之后的最后选择。

Methods From May 2000 to May 2006, 678 cases of pituitary adenoma were treated by endoscopic endonasal transsphenoidal surgery. All the patients received neuroimaging and endocrinological examinations before the surgery.

2000年5月~2006年5月共治疗垂体瘤678例，术前均行影像学及血液内分泌激素检查，且均在内镜下经鼻蝶手术切除病变。420例获得6~24个月的随访。

Objective:To explore the application of frameless image-guidance system in endoscopic transsphenoidal removal of pituitary adenomas.

目的：探讨无框架影像导航系统在内镜下经蝶窦入路垂体瘤切除术中的应用。

Methods: Under the operative microscope, the pituitary adenoma in the 44 patients were resected through the 4 anatomical spaces via transpterional approaches. Attenion was paid to protecting the important structures including the optic never and ICA, and superior hypophyseal arteries.

在手术显微镜下经冀点入路鞍区四个解剖间隙切除垂体瘤44例，术中注意保护肿瘤周围的视神经、ICA及发出的垂体上动脉。

Results The bulging of the upper border of the pituitary gland and the shifting position of the pituitary stalk observed in the intensified MRI are the pathognomonic signs for the diagnosis of micropituitary adenoma. THe operation was stopped due to hemorrhage in one case.

结果 MRI 显示的垂体上缘隆起，垂体柄移位和T2加权上示高信号，这是诊断垂体微腺瘤独有的影像特征。11例中施肿瘤近全切除术10例，因出血终止手术1例。

Adenomas within the sphenoidal sinus can be removed in 7 cases by cutting the sphenoidal plate and the tubercutum sella e and the anterior wall of sellsa floor.

显微切除鞍上肿瘤时应解剖出垂体柄和受挤压的垂体组织并加以保护，以免术中损伤。

On the other hand, the more important thing is because the urban housing is a kind of heterogeneity products.

另一方面，更重要的是由于城市住房是一种异质性产品。

Climate histogram is the fall that collects place measure calm value, cent serves as cross axle for a few equal interval, the area that the frequency that the value appears according to place is accumulated and becomes will be determined inside each interval, discharge the graph that rise with post, also be called histogram.

气候直方图是将所收集的降水量测定值，分为几个相等的区间作为横轴，并将各区间内所测定值依所出现的次数累积而成的面积，用柱子排起来的图形，也叫做柱状图。