鞍区肿瘤术后水钠紊乱研究进展

Research progress of water and sodium disorders after surgery for sellar region tumor

鞍区肿瘤是神经外科常见疾病，随着显微神经外科的发展，多数肿瘤町达到全切或次全切，但鞍区结构复杂，术后易出现水电解质紊乱（其中以尿崩症和低钠血症最为常见），影响患者预后和生活质量。为了能够对鞍区肿瘤术后水钠紊乱有更深刻的认识，本文系统回顾了有关鞍区肿瘤术后尿崩症和低钠血症的相关文献，对发生机制与治疗措施等进行综述。

Tile sellar region tumor is a common disease in neurosurgery. With the development of micro nerve surgery, most of the tumors can be totally or subtotally resected. However, owe to the complexity of sellar region, it is prone to appear postoperative distmbance of water and electrolyte, especially diabetes insipidus and hyponatremia. These may affect the prognosis and quality of life in patients. In order to have a more profound understanding of water and sodium disturbance after surgery tbr sellar tumors, this paper reviewed the relevant literatures about diabetes insipidus and hyponatremia systematically. We mainly summarized the mechanism and treatment measures for postoperative diabetes insipidus and hyponatremia in recent researches, which may provide references for clinical practices.