[经蝶窦手术切除垂体腺瘤后的视力减退]
[Vision deterioration after transsphenoidal surgery for removal of pituitary adenoma].
作者信息
Tong Huaiyu, Wei Shaobo, Zhou Dingbiao, Zhu Ruyuan, Pan Longsheng, Jiang Jinli
机构信息
Department of Neurosurgery, General Hospital, People's Liberation Army, Beijing 100853, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2002 Oct;40(10):746-8.
OBJECTIVE
To explore the mechanism and strategies of prevention and treatment of vision deterioration after transsphenoidal surgery for removal of pituitary adenoma.
METHODS
From January 1980 to February 2001, 1 412 patients were operated on by transsphenoidal surgery to remove pituitary adenoma. Fourteen patients experienced vision deterioration after operation. Clinical data from the 14 patients with vision deterioration were analyzed retrospectively.
RESULTS
In this group, the incidence of vision deterioration was 0.99%. Over packing of the adenoma bed was seen in 5 patients, apoplexy of residual tumor in 3, high intracranial pressure in 2, vascular spasm in 2, injury of the optic nerve in the cannel in 1 and unknown reason in 1.
CONCLUSIONS
Vision deterioration is a severe complication after transsphenoidal surgery. Early diagnosis and treatment can greatly improve the vision.
目的
探讨经蝶窦手术切除垂体腺瘤后视力减退的防治机制及策略。
方法
1980年1月至2001年2月，1412例患者接受经蝶窦手术切除垂体腺瘤。14例患者术后出现视力减退。对这14例视力减退患者的临床资料进行回顾性分析。
结果
该组患者视力减退发生率为0.99%。5例患者出现腺瘤床过度填塞，3例出现残留肿瘤卒中，2例出现高颅内压，2例出现血管痉挛，1例出现视神经管内损伤，1例原因不明。
结论
视力减退是经蝶窦手术后的严重并发症。早期诊断和治疗可显著改善视力。
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