垂体瘤病人的临床表现及诊断延迟分析(附81例分析)

Clinical features and diagnosis of pituitary adenoma in 81 cases

目的分析垂体瘤的临床特征和诊疗情况。方法对81例垂体瘤病人的临床资料和诊断经过进行回顾性研究。结果视力、视野损害,月经紊乱,头痛和肢端肥大是垂体瘤最主要的首发症状,占85.2%(69例);本组病人发病至就诊延误平均时间为17.6个月,其中以视力、视野损害而就诊的病人延误时间最短,而以肢端肥大就诊的病人延误时间最长;病人首诊于眼科者达到半数,其次为妇产科;首诊至确诊时间在眼科为(12.7±3.7)个月,普通内科为(30.6±9.6)个月,其诊断正确率分别为55.0%和11.2%。结论垂体瘤最常见的临床表现为视力、视野损害,常首诊于眼科、妇产科或内科;掌握相关专业的临床知识,完善有关检查可减少和避免误诊。

Objective To explore clinical features and diagnostic procedure of pituitary adenoma.Methods Clinical data and diagnostic procedure of 81 patients with pituitary adenoma were analyzed.Results Impairment of vision and/or visual field,menstrual disorder,headache and acromegaly made up 85.2%(69 cases) of the first symptoms.The average time from occurrence of clinical symptoms to admission was 17.6 months.In the group,the delayed time was the shortest in patients with damage of vision and visual field as the fi...