女性脑垂体腺瘤误诊69例分析

目的：分析脑垂体腺瘤诊治过程中误诊的原因。方法：回顾性分析了1988-07～2003-02接诊的女性脑垂体腺瘤误诊69例资料。结果：69例中，误诊为不孕症30例(43．5％)，误诊为视神经炎或视神经萎缩28例(40．6％)．误诊为肥胖症5例(7．2％)、甲状腺功能低下1例(1．4％)，误诊为一般性血管性头痛3例(4．3％)，误诊为颅咽管瘤1例(1．4％)、鞍上生殖细胞瘤1例(1．4％)。大部分(65例，94．2％)误诊原因为非神经外科医生诊断过程中过多地考虑自身专业的疾病，对患的病情缺乏全面认识。结论：脑垂体腺瘤患在妇产科、眼科、内分泌科就诊过程中误诊是常见的。提示专科医生应扩展知识面，加强对脑垂体腺瘤的认识。

Misdiagnostic Analysis of 69 Women with Pituitary Adenoma

Objective:To analyze the causes of misdiagnosis of women with pituitary adenoma. Methods:69 patients misdiagnosed(July,1988 through February,2003) with pituitary adenoma has been retrospectively studied.Results:30 patients(43.5%) were misdiagnosed as infertility, 28 patients(40.6%) as optic neuritis or optic atrophy, 5 patients(7.2%)as obesity, 1 patient(1.4%) as hypothyroidism, 3 patients(4.3%) as vascular headache, 1 patient(1.4%) as craniopharyngioma, and 1 patient(1.4%) as suprasellar germinoma. The reasons for misdiagnosis (65 of 96,94.2%)mainly lay in physician's lack of knowledge about this disease.Conclusion:Many of patients with pituitary adenoma were misdiagnosed by doctors in department of gynecology and obstetrics, ophthalmology, and endocrinology. Doctors, especially non-neurosurgery doctors, should pay much attention to the disease of pituitary adenoma.