CAJ | 학술논문

目的评估内镜经鼻蝶窦垂体瘤术后短期并发症(术后即刻至术后60 d).方法回顾性分析2007年9月至2008年8月新疆医科大学第一附属医院神经外科连续收治的114例垂体瘤患者行内镜经鼻蝶窦手术的临床资料,记录短期并发症的发生,探讨其发生的原因.结果本组114例垂体瘤患者行内镜经鼻蝶窦手术,肿瘤全切89例,次全切除11例,部分切除14例,其中死亡3例.28例患者出现11种短期并发症,同时出现4种并发症的患者4例,同时出现3种并发症的患者8例,同时出现2种并发症的患者13例,仅有一种并发症的患者3例.结论内镜经鼻蝶窦垂体瘤手术短期并发症与肿瘤本身的特点(生长方向、是否侵袭性等)有关,与手术技术的熟练程度和特殊手术器械有关.需要经历较长的学习平台期.
목적 평고내경경비접두수체류술후단기병발증(술후즉각지술후60 d).방법 회고성분석2007년9월지2008년8월신강의과대학제일부속의원신경외과련속수치적114례수체류환자행내경경비접두수술적림상자료,기록단기병발증적발생,탐토기발생적원인.결과 본조114례수체류환자행내경경비접두수술,종류전절89례,차전절제11례,부분절제14례,기중사망3례.28례환자출현11충단기병발증,동시출현4충병발증적환자4례,동시출현3충병발증적환자8례,동시출현2충병발증적환자13례,부유일충병발증적환자3례.결론 내경경비접두수체류수술단기병발증여종류본신적특점(생장방향、시부침습성등)유관,여수술기술적숙련정도화특수수술기계유관.수요경력교장적학습평태기.
Objective To evaluate the short -term complications related to the endoscopic transnaso - sphenoidal approach for pituitary adenoma surgery. Method A retrospective analysis was conducted in 114 patients with pituitary adenomas who underwent endoscopic transnaso - sphenoidal approach surgery between September 2007 and August 2008 in the first affiliated hospital of Xinjiang medical college. The short - term (within 60 days after operation) complications were recorded. The potential causes of complications were studied. Results The numbers of patients of gross total,subtotal and partial removal of tumors were 89,11 and 14 respectively. The short - term complications were found in 28 patients. Four patients suffered from 4 kinds of complications simultaneously. There were 8 patients with 3 kinds of complications. 13 patients harbored 2 kinds of complications. And 3 patients only had one complication. Conclusions Complications of endoscopic transnaso -sphenoidal approach procedure is related not only to the characteristic of tumor,but also to surgical skills and special instruments. Surgeon need a long learning -curve to master the technique.