Clinical analysis of complicatios of transsphenoidal surgery in treatment of giant pituitary adenoma

VernacularTitle:经蝶手术治疗巨大型垂体腺瘤并发症分析
Author: Zhiqiang LI ; Weihong WANG
Publication Type:Journal Article
Keywords: Pituitary neoplasms; Intraoperative complications
From: Chinese Journal of Primary Medicine and Pharmacy 2010;17(12):1629-1631
CountryChina
Language:Chinese
Abstract: Objective To explore experiences of complications in removal of patients with large and giant pi-tuitary adenonms by transsphenoidal approach and to improve the clinical treatment effectiveness.Method Nasal vestibule small column was cut to increase inclinometer incision,then the bottom of sellar was broken via the nasal septum-the midline of sellar sphenoid sinus and intrasellar tumor was removed.Results The tumor was totally re-moved on 48 patients(31%)and sub-totally or partly removed on other patients.The 122(90%) patients'symptoms or signs were greatly improved in following days.There wore cerebrospinal fluid rhinorrhea(thirteen cases),nasal bleed-ing,diabetes incipidus which lasted for one week or more and were cured by treatment with drugs.Conclusion As to complications in removal of patients with large and giant pituitary adenomas by transsphenoidal approach,many poly-nucleations in fluenced the effect and should be reconstructed.