经蝶窦垂体手术的术后即刻并发症：一项前瞻性研究。
Immediate postoperative complications in transsphenoidal pituitary surgery: A prospective study.
作者信息
Chowdhury Tumul, Prabhakar Hemanshu, Bithal Parmod K, Schaller Bernhard, Dash Hari Hara
机构信息
Department of Anesthesiology and Perioperative Medicine, Health Sciences Center, University of Manitoba, Winnipeg, Canada.
Department of Neuroanesthesiology and Neuro-Critical Care, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Saudi J Anaesth. 2014 Jul;8(3):335-41. doi: 10.4103/1658-354X.136424.
Abstract
BACKGROUND
Considering the important role of pituitary gland in regulating various endocrine axes and its unique anatomical location, various postoperative complications can be anticipated resulting from surgery on pituitary tumors. We examined and categorized the immediate postoperative complications according to various tumor pathologies.
MATERIALS AND METHODS
We carried out a prospective study in 152 consecutive patients and noted various postoperative complications during neurosurgical intensive care unit stay (within 48 hrs of hospital stay) in patients undergoing transsphenoidal removal of pituitary tumors.
RESULTS
In our series, various groups showed different postoperative complications out of which, cerebrospinal fluid leak was the commonest followed by diabetes insipidus, postoperative nausea and vomiting, and hematoma at operation site.
CONCLUSION
Various immediate postoperative complications can be anticipated in transsphenoidal pituitary surgery even though, it is considered to be relatively safe.
摘要
背景
鉴于垂体在调节各种内分泌轴方面的重要作用及其独特的解剖位置，垂体肿瘤手术可能会引发各种术后并发症。我们根据不同的肿瘤病理对术后即刻并发症进行了检查和分类。
材料与方法
我们对152例连续患者进行了一项前瞻性研究，并记录了经蝶窦切除垂体肿瘤患者在神经外科重症监护病房住院期间（住院48小时内）出现的各种术后并发症。
结果
在我们的系列研究中，不同组出现了不同的术后并发症，其中脑脊液漏最为常见，其次是尿崩症、术后恶心和呕吐以及手术部位血肿。
结论
经蝶窦垂体手术即使被认为相对安全，也可能出现各种术后即刻并发症。
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