Comparative Analysis of the Efficacy of Neuroendoscopic and Microscopic Transnasal Resection of Pituitary Tumours in the Pterygoid Region

Bijiang ZHANG; Jinghui LI

doi:10.12259/j.issn.2095-610X.S20240713

Volume 45 Issue 7

Jul. 2024

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Bijiang ZHANG, Jinghui LI. Comparative Analysis of the Efficacy of Neuroendoscopic and Microscopic Transnasal Resection of Pituitary Tumours in the Pterygoid Region[J]. Journal of Kunming Medical University, 2024, 45(7): 87-91. doi: 10.12259/j.issn.2095-610X.S20240713

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Bijiang ZHANG, Jinghui LI. Comparative Analysis of the Efficacy of Neuroendoscopic and Microscopic Transnasal Resection of Pituitary Tumours in the Pterygoid Region[J]. Journal of Kunming Medical University, 2024, 45(7): 87-91. doi: 10.12259/j.issn.2095-610X.S20240713

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Comparative Analysis of the Efficacy of Neuroendoscopic and Microscopic Transnasal Resection of Pituitary Tumours in the Pterygoid Region

doi: 10.12259/j.issn.2095-610X.S20240713

Bijiang ZHANG,
Jinghui LI^,

Second Department of Neurosurgical Surgery，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

Received Date: 2024-03-10
Publish Date: 2024-07-25

Abstract

Abstract

Objective To analyze the clinical effectiveness of neuroendoscopy and microscopy in the treatment of hypophysectomy. Methods The clinical data of 150 patients with pituitary adenoma treated in the Department of Neurosurgery, the First Affiliated Hospital of Kunming Medical University from January 2019 to December 2023 were retrospectively analyzed. According to the surgical methods, they were divided into the microscope group （ n = 100 ） and the neuroendoscopy group （ n = 50 ）. The clinical efficacy of the two surgical methods on pituitary adenoma was compared. Results In the two groups of surgical patients, there was no significant difference between the total incision rate of Knosp grade 0-II in the neuroendoscopy group （97.6%） and the microscopy group （95.1%）, the total incision rate of Knosp grade III-IV in the neuroendoscopy group （66.7%） was significantly higher than that of the microscopy group （10.5%）, The postoperative hospital stay and the rate of improvement of primary symptoms were better in the neuroendoscopic group than in the microscopic group, and the difference was highly significant （P < 0.05）. There was no significant difference in rates of CSF leak, hemorrhage, hormonal changes, or complications between these two groups （ P > 0.05）. Conclusion Both surgical methods have good therapeutic effects on patients with pituitary adenomas. For Knosp grade III to IV pituitary adenomas, the total resection rate is higher with neuroendoscopy than with microscopy. The clinical decision to use either technique depends on the type of tumor and the patient's general condition.
- Pituitary adenomas,
- Endoscope,
- Microscope,
- Efficacy comparison

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References(22)

References

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