摘要
目的:探讨垂体瘤经蝶入路术后常见问题产生的原因和处理的方法。方法:对89例经蝶入路垂体瘤患者的临床表现、术后常见问题处理等作回顾性分析。结果:34例(38．2％)术后出现暂时性尿崩;术后肿瘤残留有17例 (19．1％);16例(17．98％)术后垂体前叶功能不足;术后脑脊液漏3例(3．37％)。结论:手术中操作应轻柔,避免损伤垂体后叶和鞍隔;术后MRI早期增强扫描可发现肿瘤残留:内分泌激素水平监测是必须的,术后垂体功能低下者需激素替代治疗。
object： To discuss the reason and treatment of frequently problems after transsphenoidal approach resection of pituitary adenomas. Methods： To retro-analyse the clinical manifestation and postoperative treament of eighty-nine cases transsphenoidal approach resection of pituitary adenomas. Results： 34（38.2% ） cases had temporary diabetes insipidus ; residual tumor were found in 17 （ 19.1 %） cases ; 16 （ 17.98 % ） cases occurred postoperative insufficiency of pituitarium anterius function ;3 （3.37 % ） cases had leakage of cerebrospinal fluid. Conclusion： manipulate lightly and softly during operation, avoid damage to posterius pituitarium and sellae diaphragma; earlier period MRI enhancement scanning could discover timor remain; monitoring endocrine krinin was imperative, hypopituitarism need hormone replacement therapy.
出处
《脑与神经疾病杂志》
2006年第3期208-209,共2页
Journal of Brain and Nervous Diseases
