现代诊断与治疗
現代診斷與治療
현대진단여치료
MODERN DIAGNOSIS AND TREATMENT
2014年
20期
4561-4562
,共2页
垂体瘤%经蝶手术%脑脊液漏%腰大池持续外引流
垂體瘤%經蝶手術%腦脊液漏%腰大池持續外引流
수체류%경접수술%뇌척액루%요대지지속외인류
Pituitary tumor%Transsphenoidal surgery%Cerebrospinal fluid leakage%Continuous lum-bar drainage
目的：总结垂体瘤经蝶术后脑脊液漏采用腰大池持续外引流治疗的临床体会。方法选取我院收治的垂体瘤经蝶术后脑脊液漏患者78例，按治疗时间分为对照组和观察组，对照组患者给予常规开颅手术治疗，观察组患者给予腰大池持续外引流治疗，比较两组患者的临床效果。结果对照组治疗总有效率为71.8%，观察组治疗总有效率96.2%，两组比较差异具有统计学意义（P＜0.05）；观察组脑脊液漏控制时间、住院时间均优于对照组，差异具有统计学意义（P＜0.05）；对照组2例发生继发性颅内感染，观察组无患者发生继发感染，两组比较差异具有统计学意义（P＜0.05）。结论垂体瘤经蝶术后脑脊液漏采用腰大池持续外引流治疗，可明显缓解症状，缩短住院时间，提高临床治疗效果，值得进一步推广。
目的：總結垂體瘤經蝶術後腦脊液漏採用腰大池持續外引流治療的臨床體會。方法選取我院收治的垂體瘤經蝶術後腦脊液漏患者78例，按治療時間分為對照組和觀察組，對照組患者給予常規開顱手術治療，觀察組患者給予腰大池持續外引流治療，比較兩組患者的臨床效果。結果對照組治療總有效率為71.8%，觀察組治療總有效率96.2%，兩組比較差異具有統計學意義（P＜0.05）；觀察組腦脊液漏控製時間、住院時間均優于對照組，差異具有統計學意義（P＜0.05）；對照組2例髮生繼髮性顱內感染，觀察組無患者髮生繼髮感染，兩組比較差異具有統計學意義（P＜0.05）。結論垂體瘤經蝶術後腦脊液漏採用腰大池持續外引流治療，可明顯緩解癥狀，縮短住院時間，提高臨床治療效果，值得進一步推廣。
목적：총결수체류경접술후뇌척액루채용요대지지속외인류치료적림상체회。방법선취아원수치적수체류경접술후뇌척액루환자78례，안치료시간분위대조조화관찰조，대조조환자급여상규개로수술치료，관찰조환자급여요대지지속외인류치료，비교량조환자적림상효과。결과대조조치료총유효솔위71.8%，관찰조치료총유효솔96.2%，량조비교차이구유통계학의의（P＜0.05）；관찰조뇌척액루공제시간、주원시간균우우대조조，차이구유통계학의의（P＜0.05）；대조조2례발생계발성로내감염，관찰조무환자발생계발감염，량조비교차이구유통계학의의（P＜0.05）。결론수체류경접술후뇌척액루채용요대지지속외인류치료，가명현완해증상，축단주원시간，제고림상치료효과，치득진일보추엄。
O bjective To summarize the clinical experience of continuous lumbar cistern drainage in the treatment of pituitary tumor postoperative cerebrospinal fluid leakage after butterfly. Meth-ods Pituitary tumor in our hospital were selected by transsphenoidal postoperative cerebrospinal fluid leakage in 78 patients, according to treatment time, they were divided into the observation group and control group. The control group were given routine craniotomy treatment, observation group were treated with continuous lumbar cistern drainage treatment. Clinical effect was compared in two groups. Results In the control group, total effective rate was 71.8%, total effective rate in observation group was 96.2%, with significant differences in the two groups(P<0.05); Cerebrospinal fluid leakage control time, hospitalization time of observation group were better than that in con-trol group, with significant difference (P<0.05);2 patients in control group occurred secondary in-tracranial infection, no patients with secondary infection were in observation group, statistically significant differences in the two groups (P<0.05). Conclusion Continuous lumbar cistern drainage in the treatment of pituitary tumor postoperative cerebrospinal fluid leakage after butterfly, can significantly relieve the symptoms, short the hospitalization time, improve the clinical treatment ef-fect and be worthy of further promotion.
