摘要
目的 分析和探讨垂体ACTH腺瘤的诊断和治疗。方法 对我科收治的 2 9例垂体ACTH腺瘤患者的临床特点和治疗效果进行了回顾性分析。结果 垂体ACTH微腺瘤的诊断较为困难 ,有库欣氏综合症表现的患者 ,辅以血清ACTH、地塞米松抑制试验等并结合影像学资料方可确诊 ,经蝶手术切除肿瘤复发率仅为 6 9%。结论 垂体ACTH腺瘤的诊断须依靠临床表现、实验室检查和影像学检查等。
Objective To analysis and discus the diagnosis and treatment of pituitary ACTH adenoma. Methods 29 cases of pituitary ACTH adenoma treated surgicaly in our department were analyzed retrospectively. Results The diagnosis of pituitary ACTH microadenoma was difficult. The diagnosis evidences include patient with cushing's syndrome, elevated serum ACTH level, positive result of dexamethasone suppression test and neurodiological images.The recurrent rate of tumor operated by transsphenoidal surgery was 6 9%. Conclusions The diagnosis of pituitary ACTH adenoma must base on clinical signs, laboratory tests, and radiological data. Transsphenoidal surgery for pituitary ACTH adenoma is the first choice.
出处
《中华神经外科杂志》
CSCD
北大核心
2002年第3期178-180,共3页
Chinese Journal of Neurosurgery
