| 垂体腺瘤卒中的临床诊疗体会 |
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| 引用本文： | 许自强.垂体腺瘤卒中的临床诊疗体会[J].医药论坛杂志,2009(7). |
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| 作者姓名： | 许自强 |
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| 作者单位： | 郑州大学第五附属医院神经外科; |
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| 摘 要： | 目的对垂体腺瘤卒中的外科诊断和治疗结果进行分析探讨。方法收集2000年1月至2005年12月我院经手术治疗的47例垂体卒中患者的临床资料,进行回顾性分析。结果无功能性垂体腺瘤最多见,占66.7%。头痛是垂体卒中最常见的临床症状,其次是视觉障碍,再次为眼肌麻痹。47例患者中,经蝶手术39例(83%),开颅手术8例(17%),无手术死亡。全部切除肿瘤者42例(89%),次全切除肿瘤者3例(11%)。术后随访12个月至4年,2例(4.2%)肿瘤复发,3例(6.4%)需要长期激素替代治疗。结论无功能腺瘤在急性垂体卒中最多见,急性垂体卒中最常见的症状为突发头痛。急性垂体卒中的首选检查方法是MRI。经蝶入路手术是治疗垂体卒中安全有效的方法。
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| 关 键 词： | 垂体腺瘤 垂体卒中 诊断 手术治疗 |
Clinical Study of Pituitary Apoplexy |
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| XU ZiqiangThe Fifth Affiliated Hospital,Zhengzhou University,Zhengzhou ,China.Clinical Study of Pituitary Apoplexy[J].Journal of Medical Forum,2009(7). |
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| Authors: | XU ZiqiangThe Fifth Affiliated Hospital Zhengzhou University Zhengzhou China |
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| Institution: | XU ZiqiangThe Fifth Affiliated Hospital,Zhengzhou University,Zhengzhou 450052,China |
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| Abstract: | Objective To analyze clinical presentation,examinations,treatment,and clinical outcome in patients with pituitary apoplexy.Methods A retrospective analysis of 47 operated patients with pituitary apoplexy was performed.Results Headache was the most common symptom,followed by visual disturbance and ophthalmoplegia.Among 47 patients,42 underwent total resection(89%) and 3 subtotal resection(11%).There was no operative mortality.Obvious improvement of visual acuities and fields occured in all patients.Follow-up... |
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| Keywords: | Pituitary adenoma Pituitary apoplexy Diagnosis Surgical treatment |
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