鞍区肿瘤手术后尿崩症及水钠失衡紊乱的临床分析
鞍区肿瘤,,鞍区肿瘤;尿崩症;显微外科手术;水钠失衡;ADH分泌不当综合征,0引言,1对象和方法,2结果,3讨论,【参考文献】
Postoperative diabetes insipidus and watersodium disorder in patients with sellar region tumorBAO Gang, CHEN Wei, SONG JinNing
Department of Neurosurgery, First Hospital of Xi'an Jiaotong University, Xian 710061, China
【Abstract】 AIM: To explore the influence of different surgical approaches and pathologic types of tumors on postoperative diabetes insipidus and electrolyte disorder in sellar region. METHODS: The surgical approaches, pathologic types and syndrome after surgeries were analyzed retrospectively in 109 patients with tumors in sellar region. RESULTS: In terms of types of tumors, diabetes insipidus and watersodium after surgery were found in 86 cases (78.9 %), with the highest in cases of craniopharyngioma (100%) and the lowest in cases of epidermoid tumor and meningiomas (60.0%-64.3%), and in terms of surgical approaches, the highest was found by ventriculus lateralisinterventricular foramenthe third ventricle (89.0%) and the lowest by hypotemporal lobe approach (79.0%). CONCLUSION: Surgical approaches and pathologic types have great influence on postoperative diabetes insipidus and electrolyte disorder in sellar region. ......
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