经蝶垂体瘤切除术中大出血的处理

目的分析和探讨垂体瘤经蝶切除时大出血的处理。方法5例术后病理证实为垂体瘤的病例,女4例,男1例。平均年龄33.2岁。平均病程27.3个月。二次手术者4例,放射治疗者3例,首次就诊者1例。均采用鼻蝶入路显微镜下切除瘤体,术中出现大出血,棉片-明胶海绵-棉片压迫,抽出棉片,8号双腔导尿管置入肿瘤腔,压迫止血、引流。根据引流量的多少,择时拔出引流管。结果随诊半年至4.5年,3例头痛、5例垂体功能障碍、3例视神经功能障碍症状明显改善,1例术后单眼全盲。结论垂体瘤经蝶显微外科手术时,采用以上方法,止血效果好,缓解症状,是治疗垂体瘤经蝶手术时大出血的有效方法。

Treatment of Massive Haemorrhage in Transsphenoidal Removal of Pituitary Adenomas

Objective To anlayze and investigate the treatment of massive hemorrhage in transsphenoida removal of pituitary adenomas.Methods Total 5 cases of pituitary adenomas confirmed by postoperative pathology,4 females and 1 male.The average age was 33.2 years old.The average course of disease is 27.3 monthes.4 cases were reoperation and 1 case was diagnosed initially.All the pituitary adenomas were removed through a transsphenoidal approach.In the operation,massive hemorrhage occurred,cotton pad-gelatin foam-cott...