经鼻蝶入路垂体瘤切除术后并发蝶窦炎的分析及处理

doi:10.6040/j.issn.1673-3770.0.2015.454

山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (1): 54-57.doi: 10.6040/j.issn.1673-3770.0.2015.454

经鼻蝶入路垂体瘤切除术后并发蝶窦炎的分析及处理

程友¹,薛飞¹,王天友¹,陈伟¹,季俊峰¹,王志颐¹,许莉¹,杭春华²

南京军区南京总医院 1. 耳鼻咽喉-头颈外科;
2. 神经外科, 江苏南京 210002

收稿日期:2015-10-31 出版日期:2016-02-16 发布日期:2016-02-16
通讯作者: 杭春华. E-mail:chunhuahang@sina.com E-mail:chengyou2002@126.co
作者简介:程友. E-mail:chengyou2002@126.co

Clinical analysis and treatment of sphenoid sinusitis after transsphenoidal pituitary adenoma resection.

CHENG You¹, XUE Fei¹, WANG Tianyou¹, CHEN Wei¹, JI Junfeng¹, WANG Zhiyi¹, XU Li¹, HANG Chunhua

1. Department of Otolaryngology-Head and Neck Surgery;2. Department of Neurosurgery, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, Jiangsu, China

Received:2015-10-31 Online:2016-02-16 Published:2016-02-16

摘要/Abstract

摘要： 目的探讨经鼻蝶入路垂体瘤切除术后并发蝶窦炎的防治方法。方法 129例患者行经鼻蝶入路垂体瘤切除术,统计术后并发蝶窦炎患者,对其进行处理。结果经鼻蝶入路垂体瘤切除术后并发蝶窦炎6例(4.65%),经鼻内镜下定期术腔清理、鼻用激素、鼻腔冲洗后全部治愈。结论对经鼻蝶入路垂体瘤切除术后并发蝶窦炎患者行鼻内镜下及时处理,可有效改善患者临床症状。

关键词: 垂体瘤, 并发症, 蝶窦炎, 经鼻蝶手术

Abstract: Objective To exlpore the prevention and therapy methods of sphenoid sinusitis after transsphenoidal pituitary adenomas resection. Methods Totally 129 patients underwent transsphenoidal pituitary adenomas resection. The postoperative sphenoid sinusitis was observed and analyzed. Results A total of 6 cases(4.6%)complicated with sphenoid sinusitis in all 129 cases. All of them were cured after the corresponding specialized subject treatment under nasal endoscope, like regular surgical cavity cleanning, nasal steroid spray, and nasal irrigation. Conclusion The complication of sphenoid sinusitis after transsphenoidal pituitary adenomas resection should be timely disposal under nasal endoscopy so as to effectively improve the patients clinical symptoms.

Key words: Complication, Pituitary adenomas, Transsphenoidal ectomy, Sphenoid sinusitis

中图分类号:

R736.4

程友,薛飞,王天友,陈伟,季俊峰,王志颐,许莉,杭春华. 经鼻蝶入路垂体瘤切除术后并发蝶窦炎的分析及处理[J]. 山东大学耳鼻喉眼学报, 2016, 30(1): 54-57.

CHENG You, XUE Fei, WANG Tianyou, CHEN Wei, JI Junfeng, WANG Zhiyi, XU Li, HANG Chunhua. Clinical analysis and treatment of sphenoid sinusitis after transsphenoidal pituitary adenoma resection.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(1): 54-57.

参考文献

[1] 邬祖良, 谭启富, 史继新. 垂体腺瘤经蝶窦显微手术432例[J]. 中华外科杂志, 1999, 37(6):350-352. WU Zuliang, TAN Qifu, SHI Jixin. The treatment of 432 patients with pituitary adenomas via transsphenoidal approach[J]. Chin J Surg, 1999, 37(6):350-352.
[2] Berker M, Hazer D B, Yücel T, et al. Complications of endoscopic surgery of the pituitary adenomas: analysis of 570 patients and review of the literature[J]. Pituitary, 2012, 15(3):288-300.
[3] 杜奇勇, 任林强, 胡永光, 等. 经蝶入路垂体瘤切除术临床效果及其并发症[J]. 齐齐哈尔医学院学报, 2012, 33(21):2924-2925. DU Qiyong, REN Linqiang, HU Yongguang, et al. Clinical effect and its complications for transsphenoidal pituitary tumor resection[J]. Journal of Qiqihar University of Medicine, 2012, 33(21):2924-2925.
[4] 中华耳鼻咽喉头颈外科杂志编委会. 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 慢性鼻-鼻窦炎诊断和治疗指南(2008年,南昌)[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(1):6-7.
[5] 韩德民, 周兵. 鼻内窥镜外科学[M]. 北京: 人民卫生出版社, 2001: 14.
[6] 严波, 张秋航, 吕海丽. 内镜下经鼻-蝶入路垂体腺瘤术后并发鼻窦炎的防治[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(8):353-355. YAN Bo, ZHANG Qiuhang, L(¨overU)Haili. Prevention and cure sinusitis complicated by endoscopic transnasal approach in surgical treatment of pituitary adenoma[J]. J Clin Otorhinolaryngol Head Neck Surg(China), 2010, 24(8):353-355.
[7] Batra P S, Citardi M J, Lanza D C. Isolated sphenoid sinusitis after transsphenoidal hypophysectomy[J]. Am J Rhinol, 2005, 19(2):185-189.
[8] Morioka M, Hamada J, Yano S, et al. Frontal skull base surgery combined with endonasal endoscopic sinus surgery[J]. Surg Neurol, 2005, 64(1):44-49.
[9] 王天友, 王秋萍, 吴昆旻, 等. 敏抗软膏在鼻腔填塞中的应用[J]. 医学研究生学报, 2005, 18(1):89-89.

相关文章 15

[1]	张汝祥,田昊,马有祥. 鼻内镜鼻窦手术前筛窦颅底高度的CT评估价值[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 75-77.
[2]	仇书要,刘大波,钟建文,杨李强. 儿童阻塞性睡眠呼吸暂停低通气综合征等离子[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 34-37.
[3]	霍红,李五一,王剑,杨大海,金晓峰,田旭,牛燕燕. 等离子辅助悬雍垂腭咽成形术后重度咽狭窄的治疗[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 58-61.
[4]	楚士东,慈军, 王海英, 王昌阳, 周怀恩, 宝庆付. 鼻窦CT指引下三种鼻内镜蝶窦手术径路回顾性分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 47-50.
[5]	祝青萍, 万玉柱. 儿童急性鼻窦炎眶并发症的临床表现及治疗[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 91-94.
[6]	吴博,胡国华. 异物致颈部脓肿三例并文献复习[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 100-102.
[7]	陈秀梅,宋西成. 颈部坏死性筋膜炎7例并文献复习[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 65-67.
[8]	龚单春,张海东,张庆翔,何双八,于振坤. 精细化甲状腺腺叶切除操作技术[J]. 山东大学耳鼻喉眼学报, 2016, 30(2): 5-9.
[9]	房居高. 强化手术技能和规范诊疗是提高甲状腺癌疗效的根本[J]. 山东大学耳鼻喉眼学报, 2016, 30(2): 1-4.
[10]	王俊喜, 喻国冻, 陈乾美. 气管切开术1063例中并发症的产生种类及原因分析[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 43-44.
[11]	胡新苗. 视网膜光凝联合玻璃体切除术治疗增生性糖尿病视网膜病变的有效性及安全性[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 74-77.
[12]	陈世琴, 胡金旺. 儿童与成人人工耳蜗植入术并发症比较及处理[J]. 山东大学耳鼻喉眼学报, 2015, 29(5): 25-28.
[13]	敬尚林, 林楠, 莫炼, 何琳, 刘丽华. 纽扣式电池鼻腔异物6例临床分析[J]. 山东大学耳鼻喉眼学报, 2015, 29(3): 48-50.
[14]	孔祥峰. 翼状胬肉切除+自体干细胞移植术联合配戴角膜接触镜疗效分析[J]. 山东大学耳鼻喉眼学报, 2015, 29(3): 93-94.
[15]	唐隽, 施思斯, 于青青, 萧建新, 张超. 鼻咽癌放疗后继发慢性鼻窦炎的临床特征[J]. 山东大学耳鼻喉眼学报, 2015, 29(2): 52-54.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

经鼻蝶入路垂体瘤切除术后并发蝶窦炎的分析及处理

Clinical analysis and treatment of sphenoid sinusitis after transsphenoidal pituitary adenoma resection.

HTML

PDF (PC)

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

多维度评价

本文评价

推荐阅读 0