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]	卢朝阳, 翟兆雪, 王慧康, 邵丽婷, 张宇. 新冠肺炎治疗引发糖尿病酮症酸中毒合并鼻眶脑型毛霉菌病1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 90-94.
[2]	马馨,董凌康,吴红敏,易红良,邹建银. 外展悬吊缝合技术在阻塞性睡眠呼吸暂停治疗中的改良及应用进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 81-88.
[3]	马莉,高瞻,李鹏起,倪前伟. 鼻眶筛并发颧骨骨折伴发症解剖研究现状[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 126-130.
[4]	李浩,杨丽媛,张守凯. 鼻窦药物缓释支架在难治性鼻窦炎中的短期临床观察[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 38-42.
[5]	鲁欢,何本超,廖红明. 儿童急性鼻窦炎合并眶眼蜂窝织炎并发颅内感染1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(1): 46-50.
[6]	岳涛,庄大勇,周鹏,李小磊,徐婧,朱见,贺青卿. 达芬奇机器人甲状腺手术中气管损伤并发症4例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 46-50.
[7]	柴丽娜,雷春燕,高昇,张美霞. 孤立先天性视网膜动静脉畸形合并玻璃体出血和内界膜下出血1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(2): 67-70.
[8]	栾国刚,谌金金,严涛. 两种自制简易装置取出玻璃体硅油的方法[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 80-84.
[9]	董曙光,郭凤飞,孟旭霞,颜世龙. 早期开展飞秒激光辅助白内障超声乳化手术前囊膜撕裂原因的回顾性分析[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 110-114.
[10]	冯燚源,杨晶,杨洪斌. 220例颈深间隙感染临床分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 51-57.
[11]	李莹. 重视角膜屈光手术操作规范及并发症防治[J]. 山东大学耳鼻喉眼学报, 2021, 35(6): 1-6.
[12]	次仁琼达, 吴元. 中毒性表皮坏死松解症导致眼部远期并发症1例[J]. 山东大学耳鼻喉眼学报, 2021, 35(6): 147-150.
[13]	赵雅铭,石崧. 以急性会厌炎为首诊的3例颈部坏死性筋膜炎病例报告并文献复习[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 12-16.
[14]	孙川,刘亚群,何双八,张庆翔. 低温等离子辅助经鼻切除前中颅底肿瘤17例[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 55-59.
[15]	魏佩佩,李灿. 多焦点人工晶体植入术后的视觉质量及并发症[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 141-146.

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.

PDF (PC)

被引次数

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