脑垂体腺瘤的内镜内外科手术后,通过鼻灌缓解头痛
Jiayu Gu1, Xiaoqun Chen1, Xiaoman Cheng1
1Department of Neurosurgery/Neuro-Oncology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
BMC endocrine disorders
|April 15, 2024
概括
手术后鼻炎是脑垂体腺瘤手术后头痛的一个关键因素. 鼻灌有效地减少头痛的发生率和严重程度,通过预防鼻炎.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
背景情况:
- 脑垂体腺瘤的内镜内外科手术 (EES) 后,头痛是常见的并发症,影响患者的生活质量.
- 研究缓解术后头痛的方法对于改善患者的治疗结果至关重要.
研究的目的:
- 为了评估鼻灌在减轻脑腺瘤后ESES头痛的疗效.
- 为了确定与手术后头痛相关的危险因素.
主要方法:
- 两个队列的回顾性分析:101名患者 (I队列) 没有鼻水和72名患者 (II队列) 具有辅助鼻水.
- 使用头痛影响测试 (HIT-6) 评估头痛的严重程度,得分>55表明头痛.
主要成果:
- 术后鼻炎和哈迪C-D等级在I组的一个月后独立预测头痛.
- 与I组相比,接受鼻灌的患者 (II组) 在1个月和3个月内出现鼻炎和头痛发病率显著降低.
- 第二组也表现出明显较低的HIT-6分数,表明头痛影响减少.
结论:
- 手术后鼻炎是脑下垂体腺瘤后EES头痛的独立风险因素.
- 预防性鼻水是有效的缓解术后头痛,可能通过预防鼻炎.
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