摘要
目的观察矮小儿童垂体MRI影像表现，探讨垂体MRI扫描在矮小儿童病因诊断及预后判断中的应用价值。方法回顾性分析2012年1-12月经第二炮兵总医院临床诊断为矮小症的130例患儿的MRI影像图片，男79例，女51例，年龄3～18岁，平均9．8岁。结果130例患儿中，垂体形态、信号表现正常者82例，占63．1％垂体形态、信号异常者48例，占36．9％，其中垂体发育不良30例；垂体后叶不清、缺失4例（同时垂体柄缺如2例）；垂体微腺瘤3例；垂体囊性病变6例；鞍上池下疝4例；空泡蝶鞍1例。130例中垂体形态、信号正常者垂体高径为3．00～7．00mm。结论垂体MRI检查能清晰显示垂体的解剖形态及信号，对矮小症临床病因诊断、治疗方案制定及预后判定有重要价值，应为矮小儿童首选检查。
Objective To explore the value of pituitary MRI in diagnosis of etiology and prognosis in children with short stature. Methods The MRI data of 130 children with short stature admitted from Jan. to Dec. 2012 were retrospectively analyzed. Of the 130 children, 79 were males and 51 were females, aged 3 to 18 years with mean of 9.8 years. Results Of the 130 children, 82 cases （63.1%） were shown to have normal pituitary morphology and signal manifestation, and in 48 cases （36.9%） pituitary morphology and signal manifestation were abnormal, and among them pituitary dysplasia was found in 30 cases, deficiency of bright signals in posterior pituitary lobe was found in 4 cases, in whom pituitary stalk deficiency was found in 2 cases. Pituitary microadenoma was found in 3 cases, and pituitary cystic lesions were found in 6 cases. Suprasellar cistern hernia was found in 4 cases, and empty sella was found in one case. The height of pituitary glands was 3.00-7.00mm in children with normal pituitary morphology and signal manifestation. Conclusion MRI pituitary examination can clearly display the anatomy and the signal of the pituitary gland, therefore MR imaging is of important value in the diagnosis of the etiology diagnosis, treatment, and prognosis of children with short stature. It should be the preferred examination.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2013年第11期905-908,共4页
Medical Journal of Chinese People's Liberation Army
关键词
儿童矮小症
垂体
磁共振成像
short stature children
pituitary gland
magnetic resonance imaging
