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经鼻蝶窦垂体瘤切除术的并发症分析 被引量:5

ANALYSIS OF COMPLICATION OF TRANSPHENOIDAL SURGERY OF PITUTARY ADENOMAS
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摘要 本文分析了本科自1988年以来经鼻蝶窦垂体瘤切除术的并发症及产生原因。结果表明,并发症发生率为134%,其中包括脑脊液鼻漏、尿崩症、肿瘤残留再次手术及蛛网膜下腔出血伴动眼神经瘫。作者认为术前认真检查病变范围、研究病例特点,术中动作轻柔是避免发生并发症的关键。 The complication of transphenoidal surgery of pitutary adenomas was investigated and analysed The incidence of complication was 13 4%(10/67) The complications included cerebrospinal rhinorrhea, diabetes insipidus, subarachonid hemorrhage and oculomotor paresis The findings suggested that investigating the size of the tumor carefully, studying the particularity of the case before the operation and performing the operation softly were the keys to avoiding complications
出处 《中国耳鼻咽喉颅底外科杂志》 CAS 1996年第4期231-233,共3页 Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词 垂体肿瘤 外科手术 并发症 经鼻蝶窦 Transphenoidal Pitutary adenoma Complication
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  • 1王允胜,郭德强,熊晖,崔佳嵩,石传江,刘滨,杨涛.内镜下经鼻蝶入路垂体腺瘤手术及并发症[J].中华神经医学杂志,2004,3(6):440-441. 被引量:5
  • 2Sandoval-Sanchez JH,Flores-Cardenas F,Vargas-Frutes MC,et 8.l.Complications ofthedireetendonasal tran-phenddM approach in themanagement of pituitary adenomes[J].Neurocirugia(Aatur),2007,18(6):485-491.
  • 3Nemergut EC,Zuo z,Jane JA Jr,et al.Predictors of diabetes insipidus after transsphenoidal su-ery:a review of 881 patients[J].JNeurosurg,2005,i03(3):448.454.
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  • 8Ciric I, Ragin A, Baumgartner C, et al. Complication of transsphenoidal surgery: Results of national survey, review of literature, and personal experience [J]. Neurosurgery, 1997, 40 (2) : 225-227.
  • 9Cappabianca P, Cavalla IM, Colao A, et al. Surgical complications associated with the endoscopic endonasal transsphenoidal approach for pituitary adenomas. J Neurosurg, 2002, 97(2):293- 298.
  • 10Saito K, Kawayama A, Tamamoto N, et al. The transsphenoidal removal of nonfunctioning pituitary adenomas with suprasellar extensions: the open sella method and inteationally staged operation. Neurosurgery, 1995, 36(4) :668-675.

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