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目的探讨鼻内窥镜辅助经鼻蝶入路手术治疗垂体脓肿的效果。方法回顾性分析2例垂体脓肿患者的临床资料。结果 2例脓液培养均无菌生长,病理检查为垂体脓肿。1例术后头痛明显缓解,体温恢复正常,随访1年无复发。1例术后症状好转,随访半年复查头颅MRI示肿物明显缩小。结论综合分析临床资料有利于垂体脓肿的诊断,确诊后尽早手术,规范化抗炎治疗,经鼻内窥镜手术治疗有其明显优势。
Objective To explore the effect of endoscopic nasal endoscopic surgery for pituitary abscess. Methods The clinical data of 2 patients with pituitary abscess were retrospectively analyzed. Results 2 cases of pus culture were sterile growth, pathological examination for pituitary abscess. One case of postoperative headache was significantly relieved, body temperature returned to normal, no follow-up of 1 year follow-up. One patient had better symptoms and had a follow-up of six months. Conclusion Comprehensive analysis of clinical data is conducive to the diagnosis of pituitary abscess, diagnosis as soon as possible after surgery, standardized anti-inflammatory treatment, endoscopic sinus surgery has its obvious advantages.