经蝶窦鞍内手术严重和罕见并发症分析

目的　探讨经蝶窦鞍内手术发生严重与罕见并发症的原因和预防措施。方法　分析196 2～ 2 0 0 1年 3月间 2 0 0例经蝶窦鞍内手术 ,发生严重和罕见并发症的 16例临床资料 ,探讨其发生原因与预防方法。结果　 16例发生严重和罕见并发症 (8% ) ,其中死亡 4例 (4% ) ,严重出血 8例 (4% ) ,视力恶化 2例 (1% ) ,精神障碍 2例 (1% ) ,癫痫持续状态 1例 (0 5 % ) ,剧烈头痛 1例 (0 5 % ) ,脑组织损伤 2例 (1% )。结论　经蝶窦手术与经颅手术相比损伤明显减少 ,但仍可发生多种并发症。严格掌握手术适应证、术前仔细阅读CT片、熟悉鞍区解剖、熟练掌握经蝶手术技术会明显减少经蝶窦鞍内手术并发症

Analysis of sever and rare complications of transsphenoidal surgery for lesions of sella turcica

Objective To analysis the reason and prevention of sever and rare complications of transsphenoidal surgery for lesions of sella turcica Methods The clinical data of 16 cases who occurred sever and rare complications during transsphenoidal surgery for 200 cases of lesions of sella turcica was analyzed The reason and prophylaxis of complications was inquired Results The sever and rare complications occurred in 16 cases 4 cases died and 8 cases bleed severly and the version of 2 cases was deteriorated and 2 cases had mental disorder and 2 cases had epilepticism and 1 cases had sever postoperative headache and the brain was damaged in 2 cases among 16 cases Conclusion Although the transsphenoidal surgery comparing with transcranial surgery has mini invasive, many complications can occur and can be decreased by selecting surgical accommodation strictly and similarity with anatomy of sella turcica and mastering transsphenoidal surgical technique skilled