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目的:探讨脑垂体瘤术后复发的因素及应对措施。方法:对本院神经外科近10年来手术治疗垂体肿瘤60例进行讨论分析。结果:因术后新发生的症状或原有症状加重者31例。其中视力下降、视野缺损10例;头痛、头昏6例;性功能低下4例;泌乳4例;多饮、多尿7例。结论:垂体瘤术后复发与肿瘤的切除程度、肿瘤自身的特性、是否放疗等相关。复发后以手术治疗为主,药物和放射治疗可作为辅助治疗、必要的术后复查和预防保健。
Objective: To explore the factors and the countermeasures of postoperative recurrence of pituitary tumor. Methods: Surgical treatment of pituitary tumors in the past 10 years in neurosurgery in our hospital was discussed and analyzed. Results: Because of the new postoperative symptoms or exacerbation of the original symptoms in 31 cases. Which vision loss, visual field defect in 10 cases; headache, dizziness in 6 cases; 4 cases of sexual dysfunction; lactation in 4 cases; polydipsia, polyuria in 7 cases. Conclusion: The recurrence of pituitary tumor and tumor resection degree, the tumor’s own characteristics, whether radiotherapy and so on. After the recurrence of surgical treatment based medicine and radiation therapy can be used as adjuvant therapy, the necessary postoperative review and preventive health care.