神经内镜下经单鼻孔蝶窦入路切除垂体瘤并发症的防治  

Prophylaxis of complications in neuroendoscope endonasal transsphenoidal surgery for pituitary adenomas

作　　者：孙维晔[1] 王富元[1] 李爱民[1] 马逵[1] 李宁[1] 刘希光[1] 

机构地区：[1]徐州医学院附属连云港医院神经外科,江苏连云港222002

出　　处：《黑龙江医药科学》2012年第6期24-25,共2页Heilongjiang Medicine and Pharmacy

摘　　要：目的:探讨神经内镜下经单鼻孔蝶窦入路切除垂体瘤并发症的防治。方法:82例经CT和MRI诊断的垂体瘤患者在神经内镜下经单鼻孔蝶窦入路予以切除,并分析其临床资料。结果:全切67例,大部切除13例,其中2例巨大腺瘤二期经额下手术。术后3例出现脑脊液漏,一过性尿崩14例,蝶窦感染3例,嗅觉丧失1例,垂体功能低下2例。结论:内镜单鼻孔经蝶窦入路切除垂体瘤的并发症不但与肿瘤本身的特点有关,而且与手术技术的熟练程度和特殊手术器械有关。详细的术前评估及精细的术中操作可以降低并发症的发生。Objective： To discuss the prophylaxis of complications of the resection of pituitary adenoma by the neuroendoscope--assisted single--nostril transsphenoidal. Methods： Eighty--two cases, diagnosed as pitu- itary adenomas by CT and MRI, were treated through the endoscopic single--nostril transsphenoidal operation. Results：Sixty--seven cases received total resection of pituitary adenomas, and 13 subtotal. After operation, cerebrospinal fluid leakage occurred in 3 cases, transient diabetes insipidus occurred in 14 cases, sphenoiditis oc- curred in 3 cases, anodmia occurred in 1 cases, and pituitary function subnomorlity in 2 cases. Conclusion： Complications resulting from the endoscopy--assisted single--nostril transsphenoidal approach for resection of pituitary adenomas is related not only to the characteristic of tumor, but also to surgical skills and special instru- ments. Detailed preoperative evaluation and meticulous operation can reduce the incidence of complications.

关 键 词：神经内镜 垂体瘤 单鼻孔经蝶 并发症 

分 类 号：R736.4[医药卫生—肿瘤]