垂体脓肿(附五例报告及文献复习)

目的 探讨垂体脓肿的临床特点、早期诊断和治疗选择。方法 5例垂体脓肿均行手术治疗，3例经额下入路，2例经蝶入路。本文逐一分析了对5例垂体脓肿的诊疗经验。结果 男性3例，女性2例，年龄在12～56岁，主要症状为感染史，头痛，视力减退，多饮多尿和垂体功能低下等。神经影像学表现为：强化的T1加权像可见鞍内／鞍上低密度肿物，周围有强化环。5例患者术后均恢复良好，随诊未见复发。结论 垂体脓肿早期明确诊断后，最佳选择为经蝶手术治疗。

Pituitary abscess (5 cases report and rewiew of the literature)

Objective To discuss the clinical features, early diagnosis and treatment of pituitary abscess(PA). Methods 5 cases were treated surgically, 3 by subfrontal approach, 2 by transsphenoidal approach. Results There were 3 men and 2 women, age ranged from 12 to 56 years old. The main symptoms were fever, headache, diminished vision, polydipsia, polyuria and hypopituitarism. The contrast MR exam revealed a hypodense mass with a thin enhancement rim, located in the sellar and/or suprasellar region on T1 weighted image. All cases were eventful after operation. Conclusions After early diagnosed the best treatment of pituitary abscess is transsphenoidal approach.