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Postoperative complications and quality of life in patients with pituitary adenoma
Author(s) -
Jiajia Zhang,
Ya Wang,
Xiuqun Xu,
Yudan Gu,
Fei Huang,
Min Zhang
Publication year - 2020
Publication title -
gland surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.643
H-Index - 22
eISSN - 2227-8575
pISSN - 2227-684X
DOI - 10.21037/gs-20-690
Subject(s) - medicine , rhinorrhea , pituitary adenoma , diabetes insipidus , surgery , hypopituitarism , transsphenoidal surgery , pituitary tumors , cerebrospinal fluid rhinorrhea , complication , hyponatremia , quality of life (healthcare) , adenoma , nursing
Pituitary adenomas (PAs) are tumors that arise from the cells of the anterior pituitary gland. PAs are the most common tumors to occur in the sella area and the third most common intracranial neoplasm in surgery. Due to developments such as microscopy and neuroendoscopy, the curative effect of PA surgery continues to improve. However, postoperative complications may still occur. PA surgery can result in iatrogenic trauma, which is a primary cause of cerebrospinal fluid (CSF) rhinorrhea. PA surgery can affect the posterior pituitary gland, causing decreased antidiuretic hormone secretion and increased urine output, which can lead to hyponatremia. The nasal cavity and sphenoid sinuses may also be damaged during PA surgery, causing the sphenoethmoidal recess to be blocked. This increases the risk of infection. The purpose of this study was to analyze quality of life in PA patients post-resection, and to provide references for the development of early targeted risk assessment programs and intervention measures.

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