医学与哲学
醫學與哲學
의학여철학
MEDICINE AND PHILOSOPHY
2015年
2期
45-48
,共4页
胡增春%魏明海%尹剑%张波%马辉
鬍增春%魏明海%尹劍%張波%馬輝
호증춘%위명해%윤검%장파%마휘
垂体瘤%手术%并发症
垂體瘤%手術%併髮癥
수체류%수술%병발증
pituitary adenoma%surgery%complications
分析垂体瘤各种术式下的并发症。回顾性分析自2004年1月至2014年1月采用显微镜下开颅手术、经口鼻蝶、单鼻腔经蝶及内镜经蝶切除265例垂体瘤患者的并发症。结果开颅手术36例、经口鼻蝶113例、单鼻腔经蝶109例、内镜经蝶19例,包括5例为二次手术患者。术后78例患者出现并发症,其中尿崩62例、脑脊液鼻漏35例、视力障碍加重4例、垂体低功58例、离子紊乱45例,术中大出血3例,死亡2例。垂体瘤各术式均安全可靠,但仍可根据各术式特点采取相应方法减少并发症。
分析垂體瘤各種術式下的併髮癥。迴顧性分析自2004年1月至2014年1月採用顯微鏡下開顱手術、經口鼻蝶、單鼻腔經蝶及內鏡經蝶切除265例垂體瘤患者的併髮癥。結果開顱手術36例、經口鼻蝶113例、單鼻腔經蝶109例、內鏡經蝶19例,包括5例為二次手術患者。術後78例患者齣現併髮癥,其中尿崩62例、腦脊液鼻漏35例、視力障礙加重4例、垂體低功58例、離子紊亂45例,術中大齣血3例,死亡2例。垂體瘤各術式均安全可靠,但仍可根據各術式特點採取相應方法減少併髮癥。
분석수체류각충술식하적병발증。회고성분석자2004년1월지2014년1월채용현미경하개로수술、경구비접、단비강경접급내경경접절제265례수체류환자적병발증。결과개로수술36례、경구비접113례、단비강경접109례、내경경접19례,포괄5례위이차수술환자。술후78례환자출현병발증,기중뇨붕62례、뇌척액비루35례、시력장애가중4례、수체저공58례、리자문란45례,술중대출혈3례,사망2례。수체류각술식균안전가고,단잉가근거각술식특점채취상응방법감소병발증。
To evaluate the complications related to different approaches for pituitary adenoma surgery . A retrospective analysis was conducted on 265 patients with pituitary adenomas who underwent microscopic transcranial ,transoral‐nosal‐sphenoidal ,single‐nostril transsphenoidal or endoscopic transsphenoidal approach between January 2003 and January 2013 . The potential causes of complications were studied . 36 patients underwent microscopic transcranial surgery , 113 microscopic transoral‐nosal‐sphenoidal surgery , 105 microscopic single‐nostril transsphenoidal surgery , 19 endoscopic transsphenoidal surgery ,among them five patents with 2 staged surgery .The complications were found in 78 patients . The complications included diabetes insipidus in 62 patients ,CSF leakage in 35 patients ,visual impairment in 4 patients , hypothyroidism in 58 patients ,electrolyte disturbances in 45 patients ,bleeding in 3 patients and 2 patients died .All the approaches are safe and effective .The complications can be further decreased through different methods corresponding to each approach respectively .