垂体腺瘤经鼻蝶入路术后并发DSH的危险因素
Risk factors for delayed hyponatremia in patients with pituitary adenomas after transsphenoidal endoscopic surgery
杜悦欣 1曹卫娟1
作者信息
- 1. 412200 湖南株洲,湖南师范大学附属湘东医院内分泌科
- 折叠
摘要
经鼻蝶入路神经内镜手术是治疗垂体腺瘤的手术方式之一,迟发性低钠血症(DSH)是术后常见并发症,发生率在3.6%～19.8%.尽管可以通过检测血清钠离子浓度明确诊断,但病人通常缺乏典型的临床症状,难以预测起病时间,易误诊、漏诊,从而增加病人的死亡风险.近年来,很多研究分析DSH的危险因素并进行归纳、总结,以改善DSH对垂体腺瘤病人术后预后的影响.本文就垂体腺瘤经鼻蝶入路神经内镜术后DSH的危险因素的研究进展进行综述,为临床提供参考.
Abstract
Transsphenoidal endoscopic surgery is a surgical method commonly used to treat pituitary adenomas.Delayed hyponatremia(DSH)is a frequent postoperative complication,with an incidence rate ranging from 3.6%to 19.8%.Although the diagnosis can be made by measuring serum sodium concentration,patients often lack typical clinical symptoms,making it challenging to predict the onset time and increasing the risk of misdiagnosis or missed diagnosis,ultimately leading to an increased risk of mortality.In recent years,numerous studies have analyzed and summarized the risk factors associated with DSH in order to improve its impact on the prognosis of patients with pituitary adenomas.This article provides a review of research progress on the risk factors for DSH following transsphenoidal endoscopic surgery for patients with pituitary adenomas,offering valuable insights for clinical practice.
关键词
垂体腺瘤/经鼻蝶入路/神经内镜手术/迟发性低钠血症/危险因素Key words
Pituitary adenoma/Transsphenoidal endoscopic surgery/Delayed hyponatremia/Risk factors引用本文复制引用
基金项目
湖南省卫生健康委员会科技计划项目(D202303067839)
出版年
2024
NETL
NSTL
万方数据