经鼻蝶窦神经内镜下垂体瘤切除术并发脑脊液漏的处理策略  

Therapeutic strategies of cerebrospinal fluid leakage in the resection of pituitary adenoma with neuro-endoscopic trans-sphenoidal approach

作　　者：陈一[1] 朴浩哲[1] 姚冰[1] 孙佩欣[1] 张烨[1] 隋锐[1] 郭旭[1] 史记[1] 梁海洋[1] 

机构地区：[1]中国医科大学肿瘤医院、辽宁省肿瘤医院神经外科,辽宁沈阳110042

出　　处：《安徽医药》2017年第3期522-524,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨神经内镜下经蝶窦垂体瘤切除术中及术后出现脑脊液漏的处理策略。方法回顾性分析158例垂体瘤病人的临床资料,出现脑脊液漏病例31例,根据脑脊液漏分级标准,术中给予处理。结果 31例脑脊液漏病例术后恢复均佳。结论术前预判,术中出现脑脊液漏根据分级进行处理,术后仍有脑脊液漏则进行腰大池置管引流。Objective To explore the therapeutic strategies of intraoperative or postoperative cerebrospinal fluid leakage in neuro-endoscopic trans-sphenoidal resection of pituitary adenoma. Methods Data of 158 cases of pituitary adenoma were retrospectively analyzed,of which 31 cases suffered from cerebrospinal fluid leakage. Therapeutic measures were taken according to the grading of leakage. Results The outcomes of all the 31 cases were satisfactory. Conclusions Preoperative assessment is recommended. Intraoperative cerebrospinal leakage should be treated according to the grading of leakage. Lumbar subarachnoid space drainage is needed for the leakage that lasts after the surgery.

关 键 词：垂体肿瘤 神经内窥镜检查 脑脊液鼻漏 

分 类 号：R736.4[医药卫生—肿瘤]