摘要
目的探讨亚急性垂体卒中的诊断及评价手术治疗效果。方法亚急性垂体卒中49例,其中男27例,女22例,分别采用额下入路、翼点入路、经鼻—蝶窦入路行垂体腺瘤切除术。结果 术后对视力损害、视野缺损及眼肌麻痹疗效满意,有效率分别为84.04％、79.22％、100.00％。结论 亚急性垂体卒中临床表现以视力、视野损害及头痛为主,症状多不典型,头颅CT/MRI扫描有助于明确诊断,应在术前行完整的内分泌功能评估,于常规应用肾上腺糖皮质激素的基础上择期手术治疗,其手术术式不能一概而论。
Objective To study the diagnosis of subacute pituitary apoplexy and evaluate the surgical results. Methods 49 cases of subacute pituitary apoplexy (27 males and 22 females) underwent resection of pituitary adenoma via subfrontal approach, pterion approach, nasal-sphenoidal approach respectively. Results The curative effects of visual damage, visual field defect and ophothalmoplegia are desirable. Improvement rates are respectively 84.04 %, 79.22 %, 100.00 %. Conclusion Visual damage, visual field defect and headache are main but untypical manifestations of subacute pituitary apoplexy. CT and MRI scannings are helpful to accurate diagnosis. A series of endocrine function examinations should be taken before operation. The operation should be scheduled on the base of regular injection of adrenocortical hormone, but the option of operation method should be considered individually.
出处
《中华神经医学杂志》
CAS
CSCD
2004年第2期102-104,共3页
Chinese Journal of Neuromedicine
