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目的:提高对蝶窦鞍内肿瘤经蝶窦鞍内手术并发蛛网膜下腔出血(SAH)这种少见并发症的认识。方法:对6例垂体肿瘤经蝶窦鞍内手术并发SAH的临床资料进行分析。SAH的出血原因为肿瘤残体出血2例,损伤鞍隔或蛛网膜出血4例。结果:死亡2例,治愈4例。结论:经蝶窦鞍内手术并发SAH的发生原因复杂,熟悉鞍区解剖结构和熟练操作技术可明显减少该并发症;一旦发生这种并发症应给予综合性治疗。
OBJECTIVE: To improve the understanding of the rare complication of subarachnoid hemorrhage (SAH) in the intra-sphenoid sinus saddle intra-spinal transection. Methods: The clinical data of 6 cases of pituitary tumors transsphenoidal sinus surgery complicated with SAH were analyzed. SAH bleeding due to tumor residual hemorrhage in 2 cases, injury saddle or arachnoid hemorrhage in 4 cases. Results: 2 patients died and 4 patients were cured. CONCLUSIONS: The causes of SAH complicated by traumatic transsphenoidal surgery are complex and familiar with the anatomical structure of the saddle area and skilled operation techniques can significantly reduce the complications; in the event of such complications should be given comprehensive treatment.