论文部分内容阅读
目的探讨神经内镜下经鼻-蝶窦行垂体腺瘤切除手术并发症的防治要点。方法回顾性总结60例内镜下经单鼻孔蝶窦入路切除垂体腺瘤患者临床资料。结果肿瘤全切除32例,近全切除17例,大部切除9例,活检2例。并发症包括:术中脑脊液漏9例,术中海绵窦出血3例,术后一过性尿崩症11例,脑脊液漏2例,脑膜炎1例;均治愈。术后病理:非功能性腺瘤26例,生长激素腺瘤16例,泌乳素腺瘤12例,促肾上腺皮质激素腺瘤6例。结论术者对神经内镜下解剖的熟悉和手术器械的熟练使用与降低经鼻蝶窦垂体腺瘤切除手术并发症密切相关。
Objective To investigate the prevention and treatment of complications of endoscopic rhino-sphenoid sinus surgery under endoscopic sinus surgery. Methods The clinical data of 60 patients undergoing endoscopic resection of pituitary adenomas by single nostril sphenoid sinus approach were retrospectively reviewed. Results Tumor resection in 32 cases, nearly total resection in 17 cases, most resection in 9 cases, biopsy in 2 cases. Complications included intracranial cerebrospinal fluid leakage in 9 cases, intraoperative cavernous sinus bleeding in 3 cases, postoperative transient diabetes insipidus in 11 cases, cerebrospinal fluid leakage in 2 cases and meningitis in 1 case. All patients were cured. Postoperative pathology: 26 cases of non-functional adenoma, 16 cases of growth hormone adenoma, prolactinoma in 12 cases, adrenocorticotrophic adenoma in 6 cases. Conclusion The surgeon’s familiarity with endoscopic anatomy and the proficient use of surgical instruments are closely related to reducing the complications of transnasal sinus pituitary adenoma resection.