鼻内镜下经蝶窦入路垂体肿瘤切除术的麻醉选择  

Anesthesia selection in hypophysectomy by endoscopic transnasal sphenoidal approach

作　　者：张勤修[1] 邹剑[1] 刘世喜[1] 安会明[1] 梁传余[1] 

机构地区：[1]四川大学华西医院耳鼻咽喉科,成都610041

出　　处：《临床耳鼻咽喉科杂志》2006年第8期348-350,共3页Journal of Clinical Otorhinolaryngology

基　　金：四川省卫生厅2004年科研基金资助项目(No:040126)

摘　　要：目的:探讨在鼻内镜下经鼻腔蝶窦垂体肿瘤切除术的麻醉方法。方法:在鼻内镜下经鼻腔蝶窦入路切除垂体肿瘤56例,其中8例在全身麻醉下完成,48例局部麻醉加基础麻醉下完成。结果:所有患者都顺利完成手术,56例均无手术并发症,其中在局部麻醉加基础麻醉下完成的48例,术中出血量明显减少,生命体征平稳,无呻吟挣扎,手术顺利。结论:局部麻醉加基础麻醉下行鼻内镜下经鼻腔蝶窦垂体肿瘤切除术简单、安全,且效果好。Objective, To explore the anesthesia selection in resection of pituitary neoplasms by endoscopic transnasal sphenoidal appraoach. Method：Fifty-six cases with pituitary tumor underwent transnasal sphenoidal endoscopic surgery . Among the 56 cases, 8 cases accepted general anesthesia and 48 cases accepted local anesthesia and sedation. Result：All patients had no complains of surgery. 48 cases who accepted local anesthesia and sedation were completed surgery successfully, without groaning and struggling during the operation. Conclusion：Local anesthesia and sedation is a simple, safe and good selection for resection of pituitary neoplasms by endoscopic transnasal sphenoidal approach.

关 键 词：内镜术 垂体肿瘤 外科手术 麻醉 

分 类 号：R736.4[医药卫生—肿瘤]