经蝶窦入路垂体腺瘤切除术后出血的原因及处理

目的 探讨经蝶窦入路垂体腺瘤切除术后出血的原因及处理方法。方法回顾性分析853例经蝶窦入路垂体腺瘤切除术后6例出血，结合相关文献探讨出血原因和处理方法。结果本组853例病例中出血6例。鼻腔出血2例，鞍内出血2例，鞍上出血l例，远隔部位出血1例。经过相应处理，无死亡病例。结论 严格掌握手术适应证，熟悉局部解剖和肿瘤特点，提高诊疗经验和手术技巧，是可以减少经蝶窦垂体腺瘤手术出血的发生。出现出血时，应及时查找原因，判断出血来源，采取有效措施，避免不当处置而加重损害。

Retrospective study on inducement and management of bleeding in transsphenoidal approach in patients with pituitary adenom

Objective To explore the inducement and management of bleeding in transsphenoidal approach in patients with pituitary adenoma. Methods All 853 cases were enrolled in this study and 6 of which present with the complication of bleeding, the inducement and management of bleeding were analyzed retrospectively and the literature correlated were reviewed. Results 6 of which present with the complication of bleeding, among which 2 cases of nasal bleeding,2 cases of intra - sellar bleeding, 1 case of supra - sellar bleeding, 1 case of incorrelated bleeding. No death occurred. Conclusions The rate of bleeding can be diminished by strictly complying of indication, comprehension of the anatomy correlated and character of the adenoma,improvement of experience in diagnosis and surgical technique. Find the inducement of bleeding and the vessels correspondent to once the bleeding occurred, try best to avoid the impairment resulting from inappropriate handling.