摘要
目的探讨经鼻蝶入路切除垂体瘤术后并发SAH的原因及预防。方法分析本科917例经鼻蝶入路切除垂体瘤患者中并发SAH14例,根据CTA、DSA或者尸检的8例病例及14例术后病理资料,分析SAH的原因及预防措施。结果 14例并发SAH患者中,8例行CTA、DSA或者尸检发现5例患有动脉瘤;11例垂体功能性腺瘤;7例死亡。结论 SAH的主要原因是动脉瘤,诱因是经鼻蝶入路手术。术前脑血管检查和术中娴熟的手术操作技巧是预防SAH的关键。
Objective To investigate the reasons of the complicated SAH in transnasal-sphenoidal microsurgery for pituitary adenomas,and discover the precaution of the SAH.Methods We retrospectively evaluated 917 patients who were affected by transsphenoidal microsurgical approach.There are 14 cases complicated SAH since our department cured the pituitary adenomas by transnasal-sphenoidal microsurgery.Results There were 14 cases complicated SAH,5 of them accompanied aneurysm and 7 of them were dead.Conclusion The major reason of SAH is aneurysm,and the predisposition is transnasal-sphenoidal microsurgery for pituitary adenomas.Preoperative blood vessel examination and intra-operative essential surgical skills can availably avoid the SAH accompanied by transnasal-sphenoidal microsurgery for pituitary adenomas.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2013年第5期428-430,共3页
Journal of Apoplexy and Nervous Diseases
关键词
经鼻蝶入路手术
垂体瘤
SAH
动脉瘤
Transnasal-sphenoidal microsurgery
Pituitary adenomas
SAH
Aneurysm
