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目的:探讨内镜下经鼻-蝶入路垂体腺瘤术后并发鼻窦炎的原因及防治措施。方法:总结187例行内镜下经鼻-蝶入路垂体腺瘤切除术患者术后并发鼻窦炎的情况。结果:187例患者中术后发生鼻窦炎12例(6.4%),其中蝶窦炎9例(4.8%),筛窦炎2例(1.1%),上颌窦炎1例(0.5%)。10例经门诊非手术治疗治愈;2例保守治疗无效,再次行鼻内镜下鼻窦手术后治愈。结论:内镜下经鼻-蝶入路可以迅捷到达蝶鞍区,安全有效地切除垂体腺瘤;及时确诊鼻窦炎并加强围手术期处理,可以明显减少此并发症的发生,从而提高患者的治愈率及生存质量。
Objective: To investigate the causes and prevention measures of sinusitis after endoscopic sinus surgery for pituitary adenomas. Methods: A total of 187 patients undergoing endoscopic rhinosinus-pituitary adenoma resection surgery were complicated by sinusitis. RESULTS: Twelve patients (6.4%) had postoperative sinusitis in 187 patients, including 9 cases of sphenoid sinusitis (4.8%), 2 cases of ethmoid sinusitis (1.1%) and 1 case of maxillary sinusitis (0.5%). Ten cases were cured by outpatient non-surgical treatment; two cases were ineffective in conservative treatment and were cured again after endoscopic sinus surgery. Conclusion: Endoscopic transnasal-butterflies approach can quickly reach the sella region, safely and effectively excision of pituitary adenomas; timely diagnosis of sinusitis and perioperative management can significantly reduce the incidence of complications, thereby enhancing the patient’s Cure rate and quality of life.