摘要
目的提高对鞍区占位性病变的临床认识。方法回顾性分析32例误诊的鞍区占位性病变患者的临床资料。结果误诊时间最短3周,最长7年。首发症状表现为视力、视野障碍21例,内分泌功能障碍11例。头颅CT检查32例,MRI检查20例,MRA和DSA检查2例。27例行垂体激素测定,PRL升高9例,GH升高2例。手术治疗29例,病理检查证实垂体腺瘤22例,颅咽管瘤5例,脑膜瘤2例。结论鞍区占位性病变患者常首诊于眼科、妇产科或内分泌科,掌握丰富的相关知识、完善有关检查可减少和避免误诊。
Objective To improve the recognition of the sellar lesions. Method The clinical data of 32 patients with sellar lesions, in whom the erroneous diagnoses were made, were analyzed retrospectively. Results The shortest and longest periods of misdiagnosis were 3 weeks and 7 years respectively in 32 patients. The first symptom was the dysfunction of visual power and field in 21 patients and the endocrine disturbance in 11 patients. Head CT scan in 32 patients, MRI in 20 patients, MRA and DSA examination in 2 patients were performed. The PRL level elevated in 9 of, and the GH level elevated in 2 of 27 patients receiving pituitary hormones examination. Of 29 patients undergoing surgery, 22 suffered from pituitary adenomas which were pathologically confirmed, 5 craniopharyngiomas, 2 meningiomas. Conclusions Patients with the sellar lesions always see firstly ophthalmologist, gynecologist, obstetrician or endocrinologist. In order to avoid or reduce the misdiagnosis of the sellar lesions, it is important to grasp profuse medical knowledges and to perfect examinations related to the sellar lesions.
出处
《中国临床神经外科杂志》
2006年第3期135-136,139,共3页
Chinese Journal of Clinical Neurosurgery
关键词
蝶鞍
肿瘤
诊断
误诊
Sella tureica
Tumor
Diagnosis
Misdiagnosis
