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目的分析总结颅咽管瘤显微手术治疗后的并发症并探讨其正确的处理措施。方法回顾性分析了46例颅咽管瘤显微手术治疗后出现的并发症及其处理方法。结果全组患者术后均出现了不同程度的各种并发症,其中尿崩症32例,高钠高氯血症21例,低钠血症13例,高热13例。临床痊愈出院16例,好转出院28例,死亡2例。结论术后严密监测血电解质及尿量,手术前后补充糖皮质激素,积极处理尿崩症和电解质紊乱等并发症,与手术本身具有同样的重要性。术前即有明显下丘脑功能损害者,手术风险较大,预后差。
Objective To analyze and summarize the complications of craniopharyngioma after microsurgical treatment and to explore its correct treatment. Methods A retrospective analysis of 46 cases of craniopharyngioma after microsurgical treatment of complications and its treatment. Results All patients had various degrees of postoperative complications, including 32 cases of diabetes insipidus, 21 cases of hyperhidrosis, 13 cases of hyponatremia and 13 cases of fever. Clinical recovery discharged in 16 cases, improved discharged 28 cases, 2 died. Conclusions Blood electrolytes and urine volume are closely monitored after surgery. Glucocorticoid is added before and after surgery, and complications such as diabetes insipidus and electrolytes are actively treated, which is of equal importance to the operation itself. Preoperative obvious hypothalamic dysfunction, surgical risk, poor prognosis.