内镜下经蝶窦垂体瘤切除术对患者嗅觉的影响

Influence of endoscopic transsphenoidal pituitary adenoma resection on olfactory function

随着神经内镜及辅助设备的进步,术者对手术的认识、技能不断加深,内镜下经蝶窦垂体瘤切除术已经成为神经外科治疗该疾病的首选术式。在其发挥良好的抵近观察,广角视野的优势同时,手术路径上的副损伤,尤其是术后嗅觉功能障碍一直未能引起足够的重视。该文就可能对术后嗅觉功能产生影响的多种因素展开综述分析。

With the improvement in neuroendoscopy and auxiliary equipment,surgeons have gained a deeper understanding of the surgery and related skills,and endoscopic transsphenoidal pituitary adenoma resection has become the preferred surgical procedure for the treatment of this disease in the field of neurosurgery.Although such surgery has the advantages of close observation and wide-angle visual field,injury of the surgical path,especially postoperative olfactory dysfunction,has not attracted enough attention.This article reviews the possible influencing factors for postoperative olfactory function.