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鞍区肿瘤是神经外科常见疾病,随着显微神经外科的发展,多数肿瘤可达到全切或次全切,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。
With the development of microsurgical neurosurgery, most of the tumors can reach full or subtotal resection, but the structure of the sellar region is complex, and water-electrolyte imbalance is easy to occur after surgery (of which diabetes insipidus and low Sodium is the most common), affecting the patient’s prognosis and quality of life. In order to be able to have a deeper understanding of the postoperative water and sodium disorder in the sellar region tumor, this article systematically reviews the relevant literature on postoperative diabetes insipidus and hyponatremia in the sellar region, and reviews the mechanism and treatment measures.