卒中性垂体腺瘤的诊断与治疗

Diagnosis and Treatment of Pituitary Apoplexy

目的 探讨 2 2例垂体腺瘤卒中病人的诊断方法及手术疗效。方法 2 0例患者行显微手术治疗 ,其中 13例急诊手术。口鼻蝶入路 14例 ;经翼点入路 6例。结果 本组术后视力明显改善 7例 ,部分改善 8例 ,无变化 4例 ,恶化 1例 ,无手术死亡。结论 典型病史及颅脑MRI检查是准确诊断垂体瘤卒中的最佳手段 。

Objective To study the diagnosis and treatment of pituitary apoplexy. Methods Twenty two patients underwent microsurgical treatment, thirteen patients were treated in emergency surgery, fourteen patients underwent transsphenoidal surgery, and six patients were treated by transpterioral approach. Results Nineteen of them recovered well, visual disturbances were improved for 15 of 20, 8 of them remarkable, unchanged in four cases. One deteriorated. No patient died. Conclusion Typical clinical manifestation and MRI findings are useful in establishing the diagnosis of pituitary apoplexy.The case with persistence of the chaismatic syndromes indicates the need to consider emergency surgery. This procedure is benificial for improvement of severe visual disturbances.