经蝶入路垂体腺瘤切除术后并发症与预防的研究进展  

Research Progress on Complications and Prevention after Transsphenoidal Approach Pituitary Adenoma Resection

作　　者：石英贵 郑勇[2] SHI Yinggui;ZHENG Yong(Guangdong Medical University,Zhanjiang 524023,China;不详)

机构地区：[1]广东医科大学,广东湛江524023 [2]深圳市宝安区人民医院

出　　处：《中外医学研究》2023年第8期175-179,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：垂体腺瘤作为颅内常见的良性肿瘤之一,经蝶入路切除病灶是治疗本病的首选手术方式,但术后多种并发症仍需特别关注,常见的并发症有抗利尿激素变化、垂体功能下降、电解质紊乱、脑脊液漏、感染、颅内出血、视力视野障碍、消化道出血、继发性空蝶鞍综合征等。这些并发症若处理不好可能会严重影响患者术后生存质量。本文收集近年来中英文文献对经蝶入路垂体腺瘤切除术后常见并发症及其防治进行综述,为患者术后并发症制定更好的预防及治疗方案。Pituitary adenoma is one of the common intracranial benign tumors,transsphenoidal approach resection is the preferred surgical method for the treatment of this disease,but many postoperative complications still need special attention.The common complications are changes of antidiuretic hormone,pituitary dysfunction,electrolyte disturbance,cerebrospinal fluid leakage,infection,intracranial hemorrhage,visual field impairment,gastrointestinal hemorrhage,secondary empty sella syndrome and so on.If these complications are not properly treated,they may seriously affect the quality of life of patients after operation.In this paper,the Chinese and English literatures in recent years were collected to review the common complications and their prevention and treatment after transsphenoidal approach pituitary adenoma resection in order to make a better prevention and treatment plan for patients with postoperative complications.

关 键 词：垂体腺瘤 并发症 经蝶入路 

分 类 号：R736.4[医药卫生—肿瘤]