Application of rigid support combined with pedicled nasal septum mucos-al flap technique in the reconstruction of sellar bottom after pituitary tu-mor surgery
Objective To explore the application of rigid support combined with predicled nasal septal mucosal flap technique in postoperative saddle-bottom reconstruction of pituitary tumor.Methods Using retrospective and observational research methods,the clinical data of 54 patients with transsphenoidal pituitary tumor resection completed by the Department of Neurosurgery of the First Affiliated Hospital of Xi'an Jiaotong Uni-versity from August 2019 to May 2023 were collected and divided into rigid support group and soft reconstruction group based on the way of saddle-base reconstruction,and the length of surgery,the incidence of cerebrospinal fluid leakage,and the hospitalization time of both groups were compared and analyzed.Results The differences in operative time and peroperative bleeding between the two groups were not statistically signifi-cant(P＞0.05).The incidence of postoperative cerebrospinal fluid leakage and the rate of lumbar large pool placement in the rigid support group were lower than that in soft reconstruction group,and the hospitalization time was shorter than that in soft reconstruction group(P＜0.05).Conclu-sion Rigid support combined with predicled nasal septal mucosal flap technique can effectively reduce the incidence of cerebrospinal fluid leakage after transsphenoidal pituitary tumor surgery.
Pituitary tumorSaddle-bottom reconstructionTransnasal endoscopic approachCerebrospinal fluid leakageRigid support
万方数据
维普
