显微手术治疗垂体瘤术后尿崩症的临床分析  

Clinical analysis of postoperative diabetes insipidus because of pituitary tumor's micrurgy

作　　者：潘荣南[1] 陈民[1] 吴文昌[1] 吴雪松[1] 

机构地区：[1]玉林市第一人民医院神经外科,广西537000

出　　处：《中国临床新医学》2009年第11期1180-1182,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨显微手术治疗垂体瘤术后尿崩症的病因、诊断、处理及预防,以减少术后并发症,提高治疗效果。方法回顾性分析5年收住的55例显微手术治疗垂体瘤患者资料。结果55例患者术后发生尿崩症17例,6例在术后24h内出现,11例在24～72h内出现。1W内恢复正常11例,2W内恢复正常5例,3W内恢复正常1例,无永久性尿崩症。结论提高手术技巧,术中注意保护,可以减少尿崩症的发生;尿崩症治疗的关键是及时诊断,及时应用抗利尿药物和纠正水电解质平衡失调。Objective To study the reason,diagnosis, prevention and treatment of postoperative diabetes insipidus after removal of pituitary tumor through micrurgy, to decrease the incidence of postoperative complications and improve the treatment of pituitary tumor. Methods The clinical data of 55 cases of resection of pituitary tumor by micrurgy in 5 years were retrospectively reviewed. Results There were 17 cases .of postoperative diabetes insipidus in total of 55 operations ,6 of them occurred in the fisrt postoperative 24 hours, 11 of them occurred in the second and the third postoperative 24 hours. Eleren recovered within 1 W, 5 recovered within 2 W, 1 recovered within 3 W,no persistent diabetes insipidus was found. Conclusion The key points to prevent postoperative diabetes insipidus lay in the improvement of operative skills, careful protection during operation and avoidance of unnecessary injury. In case of diabetes insipidus, rational use of antidiuretics and correction of electrolyte balance were effective in the treatment of postoperative diabetes in sipidus.

关 键 词：显微手术 垂体瘤 尿崩症 

分 类 号：R739.41[医药卫生—肿瘤]