经鼻蝶入路垂体瘤切除术后并发蝶窦炎的分析及处理

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。

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

Objective To exlpore the prevention and therapy methods of sphenoid sinusitis after transsphenoidal pituita-ry 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 na-sal endoscopy so as to effectively improve the patientsclinical symptoms.