经蝶垂体瘤手术中应用生物胶海绵和骨片与应用脂肪和肌肉碎片患者术后并发症的比较

Comparison of medical adhesive gelatin sponge and bone piece with fatness and muscle fragment applied in pituitary adenoma operation passing sphenoid sinus

经蝶窦显微镜下手术治疗垂体瘤42例,其中28例术中使用医用生物胶明胶海绵和骨片,避免使用脂肪和肌肉碎片。结果表明,术后28例无一例发生脑脊液漏和颅内感染,1例发生双眼视力进行性下降,但下降原因考虑与医用生物胶无关。与蝶窦内填塞脂肪和肌肉碎片相比,使用生物胶对预防术后并发症有显著疗效。

Totally 42 patients with pituitary adenoma were microscopically operated according to sphenoid sinus approach, 28 patients of whom were applied medical adhesive gelatin sponge and bone piece instead of fatness and muscle fragment. The result showed that none of 28 cases postoperatively had cerebrospinal fluid leak and intracranial infection, 1 case had progressive decrease of vision, but the reason of vision decreasing had nothing with medical adhesive gelatin. Compared with inserting fatness and muscle fragment into sphenoid sinus, adhesive gelatin sponge and bone piece has great importance to prevent complications of pituitary adenoma postoperative.