经蝶窦垂体腺瘤切除术后脑脊液鼻漏相关因素分析
摘要
经蝶窦垂体腺瘤切除术(trans—sphenoidal pituitary adenomectomies,TSPA)是目前垂体腺瘤切除的主要术式,尽管死亡率不到1%,但术中血管损伤、术后脑脊液鼻漏并发的脑膜炎和张力性气颅仍威胁患者的生命。笔者回顾性总结2004年7月至2009年12月397例垂体腺瘤经蝶窦手术患者,分析TSPA后脑脊液鼻漏的影响因素,现报道如下。
出处
《中华内分泌外科杂志》
CAS
2012年第3期205-206,共2页
Chinese Journal of Endocrine Surgery
参考文献12
-
1Nishioka H,Haraoka J,Ikeda Y. Risk factors of cerebrospinal fluid rhinorrhea following transsphenoidal surgery[J].Acta Neurochirungica Supplements(Wien),2005,(11):1163-1166. 被引量:1
-
2赵兵,魏宇魁,康军,王曲,姚勇,李桂林,马文斌,幸兵,杨义,任祖渊,苏长保,王任直.扩大经蝶窦入路治疗侵袭性垂体腺瘤(附117例病例分析)[J].中华神经外科杂志,2009,25(1):12-15. 被引量:11
-
3Sawka AM,Aniszewski JP,Young WF Jr. Tension pneumocranium,a rare complication of transsphenoidal pituitary surgery:Mayo Clinic experience 1976-1998[J].Journal of Clinical Endocrinology and Metabolism,1999,(12):4731-4734. 被引量:1
-
4杨义,任祖渊,苏长保,王任直.经蝶窦入路垂体腺瘤切除术中脑脊液漏的影响因素和修补方法[J].中华神经外科杂志,2009,25(1):8-11. 被引量:22
-
5Cho JM,Ahn JY,Chang JH. Prevention of cerebrospinal fluid rhinorrhea after transsphenoidal surgery by collagen fleece coated with fibrin sealant without autologous tissue graft or postoperative lumbar drainage[J].Neurosurgery,2011,(1Suppl Operative):130-136. 被引量:1
-
6Black PM,Zervas NT,Candia GL. Incidence and management of complications of transsphenoidal operation for pituitary adenomas[J].Neurosurgery,1987,(06):920-924. 被引量:1
-
7Tabaee A,Anand VK,Brown SM. Algorithm for reconstruction after endoscopic pituitary and skull base surgery[J].Laryngoscope,2007,(07):1133-1137. 被引量:1
-
8Shiley SG,Limonadi F,Delashaw JB. Incidence,etiology,and management of cerebrospinal fluid leaks following trans-sphenoidal surgery[J].Laryngoscope,2003,(08):1283-1288. 被引量:1
-
9孙炜,庞琦,魏林,孙金龙,王成伟,宋涛,郝晓光,孟庆虎,王益华,朱百年,张庆林.经单侧鼻腔蝶窦入路垂体手术并发症的防范与处理[J].中国微侵袭神经外科杂志,2003,8(2):52-56. 被引量:23
-
10Esposito F,Dusick JR,Fatemi N. Graded repair of cranial base defects and cerebrospinal fluid leaks in transsphenoidal surgery[J].Neurosurgery,2007,(4 Suppl 2):295-303. 被引量:1
二级参考文献15
-
1张荣伟,杨辉,袁绍纪,刘子生,卢培刚,孙希炎,吕学明.扩大经蝶入路显微手术治疗海绵窦侵袭性垂体瘤[J].中国微侵袭神经外科杂志,2006,11(6):269-270. 被引量:18
-
2王任直.垂体腺瘤的规范化诊断和治疗[J].中华神经外科杂志,2006,22(6):325-326. 被引量:47
-
3王任直,尹剑,苏长保,任祖渊,姚勇,陶蔚.扩大经蝶窦入路切除侵袭性垂体腺瘤[J].中华外科杂志,2006,44(22):1548-1550. 被引量:13
-
4Esposito F, Dusick JR, Fatemi N. Graded repair of cranial base defects and cerebrospinal fluid leaks in transsphenoidal surgery. Neurosurgery, 2007,60 : 295-303. 被引量:1
-
5Seiler RW, Mariani L. Sellar reconstruction with resorbable vicryl patches,gelatin foam,and fibrin glue in transsphenoidal surgery :a 10-year experience with 376 patients. J Neurosurg, 2001,94: 861-862. 被引量:1
-
6Kelly DF, Oskouian RJ, Fineman I. Collagen sponge repair of small eerebrospinal fluid leaks obviates tissue grafts and eerebrospinal fluid diversion after pituitary surgery. Neurosurgery, 2001,49 : 885-889. 被引量:1
-
7El-Banhawy OA, Halaka AN, El-Dien AE, et al. Sellar floor reconstruction with nasal turbinate tissue after endoscopic endonasal transsphenoidal surgery for pituitary adenomas. Minim Invasive Neurosurg, 2003,46 : 289 -292. 被引量:1
-
8Cappabianca P, Cavallo LM, Valente V, et al. Sellar repair with fibrin sealant and collagen fleece after endoscopic endonasal transsphenoidal surgery. Surg Neurol,2004 ,62 :227-233. 被引量:1
-
9Mantero F, Scaroni CM. Cyclic cushing's syndrome: an overview. Pituitary ,2004,7:203-207. 被引量:1
-
10Knosp E, Steiner E, Kitz K, et al. Pituitary adenomas with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings. Neurosurgery, 1993, 33:610-618. 被引量:1
共引文献53
-
1檀书斌,蒋为众.经鼻蝶鞍区占位切除术后鼻出血33例分析[J].中外医疗,2008,27(17):159-160. 被引量:1
-
2朱红娟.单鼻孔经蝶入路垂体腺瘤围手术期的护理[J].临床护理杂志,2003,2(4):20-21.
-
3王允胜,郭德强,熊晖,崔佳嵩,石传江,刘滨,杨涛.内镜下经鼻蝶入路垂体腺瘤手术及并发症[J].中华神经医学杂志,2004,3(6):440-441. 被引量:5
-
4王益华,漆松涛.尿崩症与垂体柄损伤的关系[J].中国微侵袭神经外科杂志,2005,10(1):35-38. 被引量:11
-
5唐建敏,熊迎春.垂体腺瘤卒中的观察与护理对策[J].中国临床神经外科杂志,2005,10(1):68-69.
-
6苗重昌,刘雨成,何银,史良玉.中枢性尿崩症的MRI诊断[J].临床放射学杂志,2005,24(8):673-675.
-
7葛红梅.经蝶窦入路切除垂体腺瘤围手术期的护理[J].现代医药卫生,2006,22(9):1276-1277. 被引量:1
-
8张云高,武文明,王荣光,刘健民,何志刚,黄涛,欧江勇.鼻腔鼻窦蝶鞍区术后持续性脑脊液鼻漏的手术治疗[J].中国眼耳鼻喉科杂志,2007,7(1):29-30.
-
9黄冠敏,牛朝诗.经单鼻孔蝶窦入路显微手术治疗垂体腺瘤[J].中国微侵袭神经外科杂志,2007,12(7):331-333. 被引量:4
-
10王守森,张进朝,魏梁锋,荆俊杰,郑兆聪,郑和平,张发惠,王如密.单鼻孔经蝶入路手术的切口选择及其解剖学依据[J].福州总医院学报,2007,14(1):50-53. 被引量:1
-
1苏莉,王丰霞,孙秀娟.经蝶窦垂体腺瘤手术的护理配合[J].现代医药卫生,2007,23(13):2014-2015.
-
2杨义,任祖渊,苏长保,王任直,马文斌.鞍内置管引流预防垂体腺瘤经蝶术后瘤床渗血[J].中华神经外科杂志,2005,21(2):103-104. 被引量:10
-
3田海龙,姜彬,殷鑫,王益华,黄德章,钟原,王志刚.经蝶窦垂体腺瘤手术并发颈内动脉损伤二例并文献复习[J].中华神经外科杂志,2017,33(1):85-87. 被引量:2
-
4孙炜,秦时强,王汉斌,孟庆虎,曲春城,朱佰年,张庆林.经蝶窦入路切除垂体腺瘤术后脑脊液漏的防治[J].中华外科杂志,2005,43(17):1154-1155. 被引量:10
-
5梁传余,刘亚峰,易章超,付胤生.经蝶窦垂体腺瘤切除术的体会[J].华西医学,1995,10(4):465-467.
-
6佟怀宇,魏少波,孟祥辉,周涛.经蝶窦垂体腺瘤手术中发生脑脊液漏的原因和防治[J].中华神经外科杂志,2011,27(2):156-158. 被引量:25
-
7叶凤云,邵培双,夏继平,苗艳杰,唐艳华.垂体腺瘤切除术患者的护理体会[J].中国实用医药,2010,5(7):176-177. 被引量:2
-
8李锐.经翼点入路显微手术治疗垂体瘤44例体会[J].陕西医学杂志,2005,34(9):1058-1059. 被引量:3
-
9潘扬,马思星,袁平确,冯昌宗.肿瘤切除术中血管损伤的处理及预防(附12例报告)[J].贵州医药,2003,27(2):138-139.
-
10孙清平.经蝶窦垂体腺瘤术后多尿的处理[J].江西医药,2009,44(7):665-666.