神经内镜下经鼻蝶垂体瘤切除术后并发嗅觉障碍相关因素分析  

Analysis of factors related to olfactory dysfunction after endoscopic transsphenoidal pituitary tumor resection

作　　者：张诚[1] 罗文党 塔依江·沙塔 丁建玲 吴永刚[1] 麦麦提依明·托合提 吴滨海 杨小朋[1] ZHANG Cheng;LUO Wendang;Tayijiang·Shata;DING Jianling;WU Yonggang;Maimaitiyimin·Tuoheti;WU Binhai(Department of Neurosurgery,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,830001,China;Department of Neurosurgery,People's Hospital of Kuqa,AKesu,Xinjiang 842000,China;Department of Cardiac Surgery,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,830000,China)

机构地区：[1]新疆维吾尔自治区人民医院神经外科,乌鲁木齐830001 [2]新疆库车市人民医院神经外科,阿克苏842000 [3]新疆维吾尔自治区人民医院心外科,乌鲁木齐830000

出　　处：《新疆医学》2020年第8期829-831,共3页Xinjiang Medical Journal

基　　金：新疆维吾尔自治区自然科学基金(项目编号:2018D01C114)。

摘　　要：目的探讨神经内镜下经鼻蝶垂体瘤切除术后并发嗅觉障碍相关因素。方法对在神经内镜下单鼻孔经蝶切除垂体腺瘤47例临床资料进行分析。结果术后出现嗅觉丧失7例。结论神经内镜手术中尽可能保护部分内侧壁黏膜不受损害,维护自然嗅裂的完整性,避免嗅觉丧失。Objective To investigate the related factors of dysosmia after endoscopic transsphenoidal pituitary tumor resection.Methods The clinical data of 47 cases of pituitary adenoma were analyzed. Results Olfactory loss occurred in 7 cases.Conclusions During neuroendoscopic surgery, some medial wall mucosa should be protected from damaging, the integrity of natural olfactory cleft should be maintained and olfactory loss should be avoided.

关 键 词：垂体腺瘤 神经内镜 经蝶窦手术 嗅觉障碍 

分 类 号：S857.141[农业科学—临床兽医学]