垂体腺瘤手术常见并发症的预防与处理  

The prevention and treatment to the postoperative complications of pituitary adenomas microsurgery

作　　者：陈伟强[1] 苏杰[1] 

机构地区：[1]安徽省蚌埠市第三人民医院脑外科,233000

出　　处：《蚌埠医学院学报》2011年第7期731-732,735,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨垂体腺瘤术后并发症的预防处理方法,提高垂体腺瘤的外科治疗水平。方法:对12例垂体腺瘤术后发生并发症患者的资料进行回顾性分析。结果:术后并发尿崩症9例,其中8例为急性尿崩症,1例为迟发性尿崩症;脑性盐耗综合征1例;脑脊液鼻漏2例;出血3例;视力障碍1例;颅内感染1例;额叶及下丘脑缺血、梗死2例;病死1例。结论:选择最佳的手术入路,熟悉鞍区显微解剖结构,掌握显微手术技巧,注意术中保护是手术成功及减少手术并发症的关键。Objective：To explore the prevention about complications of pituitary adenomas microsurgery and improve the surgery skills.Methods：The clinical data of 12 patients whose pituitary adenomas were resected and accompanied with complications were analyzed respectively.Results：Nine cases were accompanied with insipidus after operation,among them,8 cases were accompanied with acute insipidus,and 1 case with delayed insipidus.One case was with cerebral salt wasting syndrome,2 cases with cerebrospinal rhinorrhea,3 cases with hemorrhage,1 case with visual disturbance,1 case with intracranial infection,2 cases with infarction in frontal lobe and hypothalamus,and 1 case was died.Conclusions：Familiarizing the anatomy of spheniodal sinus,improving the microsurgery skills and treating correctly are all important to decrease the postoperative complications.

关 键 词：垂体肿瘤 手术后并发症 处理 

分 类 号：R736.4[医药卫生—肿瘤]