经蝶显微手术治疗原发性空蝶鞍综合征

TRANSSPHENOIDAL MICROSURGICAL TREA-TMENT OF PRIMARY EMPTY SELLA SYND-ROME

报告１０例合并各种症状和体征的原发性空蝶鞍综合征的手术治疗。经蝶窦入路，行蝶鞍内硬脑膜外硅橡胶颗粒填塞、鞍底垫高术。手术消除了陷入鞍内的扩大的视交叉池，解除了鞍内脑脊液对垂体及周围结构的搏动性压迫和侵蚀，改善了症状。同时讨论有关原发什空蝶鞍综合征的临床表现、诊断标准、手术指征及治疗方法。

AbstractThe surgical treatment of l0 cases of pa-tients with primary empty sella syndrome(PESS)who presented with various symptomsand signs were reported. Intrasellar extraduralplugging of the sellar cavity with silicon ru-bber via transsphenoidal approach were perfor-mcd.The subarachnoid space herniated intothe sellar cavity was obliterated, heqce thepulsative compression and erosion of the intra- sellar cerebrospinal fluid on the pituitary glandand the surrounding structures were relieved.The syrnptoms and signs of the paients wereimproved.The clinical manifestadons, stand-ards of diagnosis,surgical indlcations and trea-tment methods of the PESS were also discussed.