摘要
分析６９例垂体腺瘤卒中病人经手术治疗后视力视野障碍的改善情况。方法：根据病人临床症状和体征，结合鞍区Ｘ线平片、ＣＴ及ＭＲＩ辅助检查，明确诊断。经鼻－蝶或额入路清除血肿并切除肿瘤。结果：本组６９例病人术前伴视力视野障碍者５９例，无明显受损１０例，术后４５例视力视野障碍有不同程度的改善，２例较术前恶化，９例改善不明显，３例死亡。结论：手术时间越早，术后视力视野障碍改善越佳，垂体瘤卒中病人一旦确诊，应尽早手术。
To Summarize the postoperative visual outcome in 69 patients with pituitary apoplexy and analyse the degree of improvement in visual deficits. Methods: The diagnosis of pituitary apoplexy was established by clinical presentation. Radiographic studies, particularly CT-scan and MR imaging, were helpful for identifying diagnosis. Surgery was performed in all of patients by means of a transsphenoidal or transfrontal craniotomy approach. Results: of 69 patients, 59 cases had visual abnormalities. After surgery,45 cases had a good visual recovery, 2 cases had severe deficits, 9 cases had no significant improvement, the other 3 cases died. Conclusion: The prognosis of pituitary apoplexy patients with visual abnormalities could be improved by early surgery. When diagnosis identified, surgical decompression should be performed as early as possible.
出处
《天津医药》
CAS
1999年第8期478-479,共2页
Tianjin Medical Journal
关键词
垂体肿瘤
腺瘤
垂体卒中
视觉障碍
外科手术
pituitury neoplasms adenoma pituitary apoplexy vision disorders surgery,operative
