经鼻蝶入路垂体瘤切除术后并发蝶窦炎的分析及处理  

Clinical analysis and treatment of sphenoid sinusitis after transsphenoidal pituitary adenoma resection

作　　者：程友[1] 薛飞[1] 王天友[1] 陈伟[1] 季俊峰[1] 王志颐[1] 许莉[1] 杭春华[2] 

机构地区：[1]南京军区南京总医院耳鼻咽喉-头颈外科,江苏南京210002 [2]南京军区南京总医院神经外科,江苏南京210002

出　　处：《山东大学耳鼻喉眼学报》2016年第1期54-57,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨经鼻蝶入路垂体瘤切除术后并发蝶窦炎的防治方法。方法 129例患者行经鼻蝶入路垂体瘤切除术,统计术后并发蝶窦炎患者,对其进行处理。结果经鼻蝶入路垂体瘤切除术后并发蝶窦炎6例(4.65%),经鼻内镜下定期术腔清理、鼻用激素、鼻腔冲洗后全部治愈。结论对经鼻蝶入路垂体瘤切除术后并发蝶窦炎患者行鼻内镜下及时处理,可有效改善患者临床症状。Objective To exlpore the prevention and therapy methods of sphenoid sinusitis after transsphenoidal pituita- ry adenomas resection. Methods Totally 129 patients underwent transsphenoidal pituitary adenomas resection. The postoperative sphenoid sinusitis was observed and analyzed. Results A total of 6 cases （4.6%） complicated with sphenoid sinusitis in all 129 cases. All of them were cured after the corresponding specialized subject treatment under nasal endoscope, like regular surgical cavity cleanning, nasal steroid spray, and nasal irrigation. Conclusion The complication of sphenoid sinusitis after transsphenoidal pituitary adenomas resection should be timely disposal under nasal endoscopy so as to effectively improve the patients＇ clinical symptoms.

关 键 词：垂体瘤 经鼻蝶手术 并发症 蝶窦炎 

分 类 号：R736.4[医药卫生—肿瘤] R765.4[医药卫生—临床医学]