神经内镜下单鼻孔蝶窦入路垂体瘤切除术76例护理体会  

Nursing of neuroendoscopic endonasal transsphenoidal surgery for pituitary adenomas

作　　者：牛淑香[1] 杨琳[1] 

机构地区：[1]泰山医学院附属泰安医院,山东泰安271000

出　　处：《泰山医学院学报》2009年第3期200-201,共2页Journal of Taishan Medical College

摘　　要：目的探讨神经内镜辅助下经单鼻孔蝶窦入路垂体腺瘤切除术患者的护理方法。方法对我科收治的76例垂体腺瘤患者行术前CT、MRI扫描及内分泌检查后,在神经内镜辅助下经单鼻孔垂体腺瘤切除术治疗,实施有效的整体性专科护理、细节性护理及心理干预。结果肿瘤全切54例,次全切17例,部分切除5例。术后1例术后一侧视力下降,治疗3月后好转。37例头痛症状消失。22例出现并发症,包括尿崩症、鼻粘膜感染、脑脊液漏、视力下降等。48例获得6~36个月随访,1例2年后复发。积极有效的护患交流、指导、心理暗示,提高患者自我护理能力。结论神经内镜辅助下经单鼻孔蝶窦入路手术治疗垂体腺瘤具有安全有效,创伤小的优点。围手术期的护理至关重要,尤其是术后并发症的观察与护理。Objective: To investigate the nursing methods of neuroendosopic endonasal transsphenoidal surgery for pituitary adenomas.Methods: Seventy-six consecutive patients with pituitary adenomas shown by CT or MRI underwent tumor removal via the endonasal transsphenoidal approach with the help of neuroendoscope.Holistic,careful nursing and mental intervention were given for all the patients.Results: Total removal of tumors in 54 cases,subtotal removal in 17 cases and partial removal in 3 cases(7.9%)were achieved.De...

关 键 词：垂体腺瘤 神经内镜 蝶窦入路 护理 

分 类 号：R473.73[医药卫生—护理学]