CAJ | 학술논문

目的探讨经蝶窦入路垂体腺瘤切除术后出血的原因及处理方法。方法回顾性分析853例经蝶窦入路垂体腺瘤切除术后6例出血，结合相关文献探讨出血原因和处理方法。结果本组853例病例中出血6例。鼻腔出血2例，鞍内出血2例，鞍上出血l例，远隔部位出血1例。经过相应处理，无死亡病例。结论严格掌握手术适应证，熟悉局部解剖和肿瘤特点，提高诊疗经验和手术技巧，是可以减少经蝶窦垂体腺瘤手术出血的发生。出现出血时，应及时查找原因，判断出血来源，采取有效措施，避免不当处置而加重损害。
목적 탐토경접두입로수체선류절제술후출혈적원인급처리방법。방법회고성분석853례경접두입로수체선류절제술후6례출혈，결합상관문헌탐토출혈원인화처리방법。결과본조853례병례중출혈6례。비강출혈2례，안내출혈2례，안상출혈l례，원격부위출혈1례。경과상응처리，무사망병례。결론 엄격장악수술괄응증，숙실국부해부화종류특점，제고진료경험화수술기교，시가이감소경접두수체선류수술출혈적발생。출현출혈시，응급시사조원인，판단출혈래원，채취유효조시，피면불당처치이가중손해。
Objective To explore the inducement and management of bleeding in transsphenoidal approach in patients with pituitary adenoma. Methods All 853 cases were enrolled in this study and 6 of which present with the complication of bleeding, the inducement and management of bleeding were analyzed retrospectively and the literature correlated were reviewed. Results 6 of which present with the complication of bleeding, among which 2 cases of nasal bleeding,2 cases of intra - sellar bleeding, 1 case of supra - sellar bleeding, 1 case of incorrelated bleeding. No death occurred. Conclusions The rate of bleeding can be diminished by strictly complying of indication, comprehension of the anatomy correlated and character of the adenoma,improvement of experience in diagnosis and surgical technique. Find the inducement of bleeding and the vessels correspondent to once the bleeding occurred, try best to avoid the impairment resulting from inappropriate handling.