临床神经外科杂志2011，Vol.8Issue(5)：231-233,3.DOI:10.3969/j.issn.1672-7770.2011.05.003
儿童第三脑室颅咽管瘤术后并发症的防治策略
Prevention and treatment of postoperative complications for the third ventricle pediatric craniopharyngioma
周辉 1施辉 1江伟 1陈覃 1李爱民 1陈军 1王富元1
作者信息
- 1. 222000,江苏省连云港市第一人民医院神经外科
- 折叠
摘要
Abstract
Objective To analyze the postoperative complications of microsurgical resection of the third pediatric craniopharyngioma in childern and discuss correct prevention and therapeutic methods. Methods The postoperative complications and their treatments of 26 children with the the third ventricle pediatric craniopharyngioma underwent microneurosurgical resection through transcallosal-interfornix approach were analyzed retrospectively. Results Among 26 patients after operation, 24 suffered from diabetes insipidus, 22 hypernatremia and hyperchloraemia, 18 hyponatremia, 12 lyperpyrexia, 3 ventricular infection, 2 epilepsy and convulsion attacks. Of 26 patients, 16 recovered clinically, 10 improved and no postoperative death. Conclusion Monitoring the serum electrolyte disorder and the urine volume, thyroid function, serum cortisol strictly after operation, giving glucocorticoid pre-and post-operatively, giving thyroid hormone post-operation, active treatment of complications, such as diabetes insipidus and serum electrolyte disorder, hyperpyrexia,ventricular infection and etc. are of the same importance as microsurgical technique, will help patients to recover.关键词
颅咽管瘤/三脑室/显微手术/并发症Key words
craniopharyngioma/ third ventricle/ microsurgery/ complications分类
医药卫生引用本文复制引用
周辉,施辉,江伟,陈覃,李爱民,陈军,王富元..儿童第三脑室颅咽管瘤术后并发症的防治策略[J].临床神经外科杂志,2011,8(5):231-233,3.
