目的探讨垂体腺瘤术后早期常见并发症的发生原因、预防措施及治疗效果。方法26例患者中男13例,女13例,年龄25～78岁,病史1周～20年;手术采取经颅切除肿瘤16例,经口鼻蝶切除肿瘤10例。结果26例患者术后25例出现尿崩症,经过治疗后均得到缓解,最短2d就恢复正常,最长20d症状消失,均为暂时性的;2例术后出现脑脊液鼻漏,其中1例经保守治疗好转,另1例经过二次修补手术后也好转。结论垂体瘤术后早期可出现多种并发症,影响患者的生存和预后,因此提高术中显微操作技巧,术后严密监测生命体征,及时对症处理,可以减少并发症的发生,并促进并发症的恢复。 Objective To investigate the causes, preventive measures and therapeutic effects of common postoperative complications in pituitary adenomas. Methods Twenty-six patients were male and 13 females, 13 females, aged from 25 to 78 years old, with a history of 1 week to 20 years. Twenty-six patients underwent transcranial surgery and 10 underwent oral and nasal butterfly excision. Results Twenty-five patients had diabetes insipidus after operation, and all of them were relieved after treatment, returned to normal within the shortest of 2 days and disappeared within 20 days. All of them were transient in 2 days. Cerebrospinal fluid rhinorrhea occurred in 2 cases, of which 1 case After conservative treatment improved, the other one after secondary repair surgery also improved. Conclusion There are many complications that may occur early after pituitary tumor, affecting the survival and prognosis of patients. Therefore, intraoperative micromanipulation techniques are improved, vital signs are monitored closely, and timely symptomatic treatment can reduce the incidence of complications and promote the concurrent Symptom recovery.