| 鼻内镜下经蝶窦入路垂体肿瘤切除术的麻醉选择 |
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| 引用本文： | 张勤修,邹剑,刘世喜,安会明,梁传余. 鼻内镜下经蝶窦入路垂体肿瘤切除术的麻醉选择[J]. 临床耳鼻咽喉头颈外科杂志, 2006, 20(8): 348-350 |
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| 作者姓名： | 张勤修 邹剑 刘世喜 安会明 梁传余 |
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| 作者单位： | 四川大学华西医院耳鼻咽喉科,成都,610041;四川大学华西医院耳鼻咽喉科,成都,610041;四川大学华西医院耳鼻咽喉科,成都,610041;四川大学华西医院耳鼻咽喉科,成都,610041;四川大学华西医院耳鼻咽喉科,成都,610041 |
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| 基金项目： | 四川省卫生厅2004年科研基金资助项目（No：040126） |
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| 摘 要： | 目的：探讨在鼻内镜下经鼻腔蝶窦垂体肿瘤切除术的麻醉方法。方法：在鼻内镜下经鼻腔蝶窦入路切除垂体肿瘤56例，其中8例在全身麻醉下完成，48例局部麻醉加基础麻醉下完成。结果：所有患者都顺利完成手术，56例均无手术并发症，其中在局部麻醉加基础麻醉下完成的48例，术中出血量明显减少，生命体征平稳，无呻吟挣扎，手术顺利。结论：局部麻醉加基础麻醉下行鼻内镜下经鼻腔蝶窦垂体肿瘤切除术简单、安全，且效果好。
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| 关 键 词： | 内镜术 垂体肿瘤 外科手术 麻醉 |
| 文章编号： | 1001-1781（2006）08-0348-03 |
| 收稿时间： | 2005-05-10 |
| 修稿时间： | 2005-05-10 |
Anesthesia selection in hypophysectomy by endoscopic transnasal sphenoidal approach |
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| ZHANG Qinxiu,ZOU Jian,LIU Shixi,AN Huiming,LIANG Chuanyu. Anesthesia selection in hypophysectomy by endoscopic transnasal sphenoidal approach[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2006, 20(8): 348-350 |
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| Authors: | ZHANG Qinxiu ZOU Jian LIU Shixi AN Huiming LIANG Chuanyu |
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| Affiliation: | Department of Otolaryngology, West China Hospital of Sichuan University, Chengdu, 610041, China). |
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| Abstract: | Objective:To explore the anesthesia selection in resection of pituitary neoplasms by endoscopic transnasal sphenoidal appraoach.Method:Fifty-six cases with pituitary tumor underwent transnasal sphenoidal endoscopic surgery .Among the 56 cases, 8 cases accepted general anesthesia and 48 cases accepted local anesthesia and sedation.Result:All patients had no complains of surgery.48 cases who accepted local anesthesia and sedation were completed surgery successfully, without groaning and struggling during the operation. Conclusion:Local anesthesia and sedation is a simple, safe and good selection for resection of pituitary neoplasms by endoscopic transnasal sphenoidal approach. |
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| Keywords: | Endoscope Pituitary neoplasms Surgical procedures,operative Anesthesia |
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