儿童颅咽管瘤术后并发症及其与预后的关系

发布时间：2018-03-18 14:15

本文选题：颅咽管瘤　切入点：儿童　出处：《山东医药》2017年11期 　论文类型：期刊论文

【摘要】：目的观察61例儿童颅咽管瘤患者术后并发症发生情况,并探讨其与患者预后的关系。方法回顾2009年1月~2015年5月收治的61例儿童颅咽管瘤患者的临床资料,统计患儿术后并发症发生情况及预后,对各术后并发症发生情况与预后的关系行单因素和多因素分析。结果术后并发电解质紊乱55例、尿崩症54例、垂体功能减退45例、高热39例、癫痫发作7例。围术期死亡2例,其余患儿随访12~72个月,预后良好53例,预后不良6例。术后并发癫痫发作与患者预后不良有关,P0.05。多因素分析结果显示术后癫痫发作与预后不良有关(r为12.37,P0.05)。结论儿童颅咽管瘤患者术后并发症包括电解质紊乱、尿崩症、垂体功能减退、高热、癫痫发作。术后并发癫痫发作者预后不良。
[Abstract]:Objective to observe the incidence of postoperative complications in 61 children with craniopharyngioma and to explore the relationship between the complications and prognosis. Methods Clinical data of 61 children with craniopharyngioma from January 2009 to May 2015 were reviewed. The incidence and prognosis of postoperative complications were analyzed by univariate and multivariate analysis. Results there were 55 cases of electrolyte disorder, 54 cases of diabetes insipidus and 45 cases of hypophysis dysfunction. There were 39 cases of high fever, 7 cases of epileptic seizure, 2 cases of perioperative death, and 12 ~ 72 months follow-up of other children. 53 cases had good prognosis. The multivariate analysis showed that the correlation between postoperative seizure and poor prognosis was 12.37% P0.05. Conclusion the postoperative complications of children with craniopharyngioma include electrolyte disturbance and diabetes insipidus. Hypophysis, hyperthermia, epileptic seizures. Poor prognosis of patients complicated with epilepsy after operation.
【作者单位】：郑州大学第一附属医院;郑州市中心医院;
【基金】：河南省教育厅高等学校重点科研资助项目(16A320057,15A310011) 河南省医学科技攻关资助项目(201503020)
【分类号】：R739.4

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