关键词: 加速康复外科, 神经内镜, 垂体腺瘤, 单鼻孔蝶窦入路

Abstract:

[Abstract] Objective To investigate the effect of accelerated rehabilitation surgery (ERAS) in neuroendoscopic transsphenoidal approach for pituitary adenoma resection.From February 2020 to September 2020,the data of 60 cases of pituitary adenoma were retrospectively analyzed.30 cases underwent surgery according to routine preparation and routine operation as control group.ERAS group was 30 patients who received ERAS concept during perioperative period.The average length of postoperative hospital stay,incidence of postoperative symptoms and complications,VAS score of nasal distension after surgery,and investigation rate of patient satisfaction during hospitalization were compared between the two groups.Results The mean postoperative hospital stay in ERAS group[(46±2.2)h] was significantly better than that in control group[(135±10.4)h](P<0.05).The incidence of clinical symptoms and complications,such as dyspnea,headache,nasal distension and nasal bleeding,was higher in ERAS group than in control group(P<0.05).The incidence of unplanned secondary surgery due to nasal bleeding was significantly higher in ERAS group (0) than in control group (13%) (P<0.05).VAS score of nasal swelling pain in ERAS group (1.12±0.45) was significantly higher than that in control group (6.61±0.92) (P<0.05).Patients’ satisfaction during hospitalization in ERAS group [(97.63±2.37)%] was better than that in control group [(80.20±3.42)%] (P<0.05).Conclusion The application of ERAS concept in neuroendoscopic transsphenoidal approach for pituitary adenoma resection can reduce postoperative systemic or local complications and shorten the average postoperative hospital stay,improved the surgical efficacy and satisfaction of patients.

Key words: enhanced recovery after surgery, neuroendoscopy, pituitary adenoma, single nostril butterfly sinuses into the road