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| 垂体腺瘤卒中手术前后视功能改变76例分析 | |
| 引用本文： | 幸兵,李永宁,任祖渊,苏长保,王任直,杨义,马文斌,连伟. 垂体腺瘤卒中手术前后视功能改变76例分析[J]. 北京医学, 2002, 24(1): 25-27. DOI: 10.3969/j.issn.0253-9713.2002.01.009 |
| 作者姓名： | 幸兵 李永宁 任祖渊 苏长保 王任直 杨义 马文斌 连伟 |
| 作者单位： | 中国医学科学院,北京协和医院神经外科,100730 |
| 摘 要： | 目的总结垂体腺瘤卒中手术前后视功能变化特点及手术疗效.方法回顾性分析76例合并视功能障碍的垂体卒中患者,经蝶窦入路手术前后的视力、视野改变和影响因素.结果 12例(15.8%)因视功能障碍,入院前被误诊最长达6年.经蝶窦手术后视力、视野的治愈缓解率分别为86.8%和81.6%,6例眼肌麻痹者恢复正常,治愈率达100%.结论经蝶入路减压是治疗垂体卒中患者视功能障碍的首选方法,对恢复视功能起重要作用. |
| 关 键 词： | 垂体卒中 垂体腺瘤 视力 经蝶手术 |
Effect on vision of pituitary adenoma apoplexy after transsphenoidal surgery(report of 76 cases) |
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| Xing Bing,Li Yongning,Ren Zuyuan,et al. Effect on vision of pituitary adenoma apoplexy after transsphenoidal surgery(report of 76 cases)[J]. Beijing Medical Journal, 2002, 24(1): 25-27. DOI: 10.3969/j.issn.0253-9713.2002.01.009 | |
| Authors: | Xing Bing Li Yongning Ren Zuyuan et al |
| Abstract: | Objective To review the features of visual function pre and postpitiutary adenoma apoplexy surgery and to discuss the effeciency of operation.Methods 76 patients of pituitary apoplexy with visual disturbance treated with transsphenoidal microsurgery were analyzed retrospectively.Results Other ophthalmic diseases with visual disturbance were misdiagnosed in 12 cases (15.8%) before admission,the longest period was 6 years.The cure and remission rate of vision and visual field are 86.8% and 81.6% respectively after transsphenoidal operation 6 cases with ophthalmoplegia had their vision function restored to normal,with cure rate 100%.Conclusions Transsphenoidal decompression is the first choice of treatment for pituitary apoplexy and plays an important role in restoring visual function. |
| Keywords: | Pituitary apoplexy Pituitary adenoma Vision Transsphenoidal surgery |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |