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Endoscopy and transsphenoidal surgery.

机译：内窥镜检查和经蝶窦手术。

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摘要

ENDOSCOPY OFFERS INTERNAL visualization of many different cavities of the human body, with its specific vision inside the anatomy, close to the target area. The view of the surgical field in transsphenoidal surgery had been obtained with the naked eye from its beginning in 1907 up to the introduction of the operating microscope by Jules Hardy in the 1960s, which represented a great advance in terms of magnification and illumination. In the past decade, modern rigid endoscopes, with their wider view near the relevant anatomy, have permitted minimally traumatic transsphenoidal procedures in and around the sellar area, thus representing a "new wave" in transsphenoidal history. An overview of the evolution of the endoscope as a visualizing and operating instrument particularly related to the transsphenoidal approach is presented here. The current possibilities of transsphenoidal endoscopy, with its related advantages and limitations, are presented.
机译：内窥镜提供内部许多不同腔体的内部可视化，其特定的视觉在解剖结构内部，靠近目标区域。从1907年开始到1960年代朱尔斯·哈迪（Jules Hardy）引入手术显微镜，就已经用肉眼获得了蝶窦手术的手术视野，这代表了放大和照明方面的巨大进步。在过去的十年中，现代硬性内窥镜在相关解剖结构附近具有较宽的视野，已允许在蝶鞍区及其周围进行最小程度的创伤性蝶窦手术，因此代表了蝶窦史上的“新浪潮”。本文介绍了内窥镜作为一种可视化和操作性器械的发展概况，特别是与经蝶窦入路有关。介绍了蝶窦内窥镜检查的当前可能性及其相关的优点和局限性。

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