CAJ | 학술논문

目的探讨单鼻孔蝶窦入路垂体腺瘤术后并发症及其防治措施。方法回顾分析我科132例单鼻孔蝶窦入路垂体腺瘤切除术后并发症情况。结果本组病例术后发生脑脊液鼻漏5例，尿崩症14例，视觉障碍1例，垂体功能不足2例，蝶窦感染1例，外展神经麻痹1例，有2例患者出现以上两种或两种以上并发症，无昏迷及死亡病例。大部病人都经保守治疗而愈。结论熟知局部的相关解剖，不断提高手术技巧，重视术后处理，有助于减少并发症，提高临床治疗效果。
목적탐토단비공접두입로수체선류술후병발증급기방치조시。방법회고분석아과132례단비공접두입로수체선류절제술후병발증정황。결과본조병례술후발생뇌척액비루5례，뇨붕증14례，시각장애1례，수체공능불족2례，접두감염1례，외전신경마비1례，유2례환자출현이상량충혹량충이상병발증，무혼미급사망병례。대부병인도경보수치료이유。결론숙지국부적상관해부，불단제고수술기교，중시술후처리，유조우감소병발증，제고림상치료효과。
Objective To evaluate the complications of trasnaso-sphenoidal microsurgery for pituitary adenomas, and discuss the problem of effective prevention and management. Methods 132 trasnaso-sphenoidal microsurgery for pituitary adenomas were reviewed retrospectively to evaluate complications. Results After the operation, there were 5 CSF rhinorrhea patients;14 diabetes insipidus patients;1 visual disturbance patient;2 supsecreting patients;1 sphenoidal infection patient;1 abduct nerve paralysis patient;there were 2 patients with 2 or various complications, and no dead patients. The majority had been cured by the non-operation. Conclusion The master of the local microdisscetion, adequate management after operation and the proifcient operation skill can decrease the rate of complication.