| 空蝶鞍综合征的诊断与治疗 |
| |
| 引用本文： | 杨纶先,谭启富.空蝶鞍综合征的诊断与治疗[J].中华神经科杂志,1996,29(2):79-81. |
| |
| 作者姓名： | 杨纶先 谭启富 |
| |
| 作者单位： | 南京军区南京总医院神经外科，南京医科大学附属脑科医院神经外科 |
| |
| 摘 要： | 报道２３例空蝶鞍综合征（ＥＳＳ）患者的临床表现、影像学、内分泌功能检查及治疗效果。认为高分辨率头颅ＣＴ冠状薄层扫描、头颅ＭＲＩ及气脑造影对ＥＳＳ有诊断价值，但均可出现假阴性。对无明显合并症的ＥＳＳ可行对症处理或随诊观察。临床上拟诊垂体瘤的患者应注意排除ＥＳＳ，以避免不必要的手术。讨论了ＥＳＳ的形成机制和病因，提出了ＣＴ及ＭＲＩ的诊断要点和手术适应证。
|
| 关 键 词： | 蝶鞍 空蝶鞍综合征 |
Diagnosisandtreatmentofemptyselasyndrome |
| |
| YangLunxian,TanQifu,SunKehua,et al..Diagnosisandtreatmentofemptyselasyndrome[J].Chinese Journal of Neurology,1996,29(2):79-81. |
| |
| Authors: | YangLunxian TanQifu SunKehua |
| |
| Institution: | YangLunxian,TanQifu,SunKehua,etal.De-partmentofNeurosurgery,GeneralHospitalofNanjingUnitofPLA,Nanjing210002 |
| |
| Abstract: | Thecharacteristicsof23casesofemptyselasyndrome(ESS)inregardwiththeclin-icalmanifestationsradiologicalimagings,pituitaryhormonesdeterminationsandtreatmentwerere-ported.BrainCTscanningwiththecoronarythin-layermethod,brainMRimagingandpneumoen-cephalographyhadprovedtobevaluableformakingtheESSdiagnosis,butmightsupportafalsenegativediagnosis.Thecaseswithoutcomplicationmaybetreatedwithpharmacotherapybutperiodi-calfolow-upwouldbeneeded.ForthepatientssuspectedtohavepituitarytumorsclinicalyESSshouldberuledoutinordertoavoidunnecessaryoperation.ThepathogenesisandetiologyofESSwerediscussed,ThemainpointsforestablishingthediagnosiswithCTscansandMRimagingsweredescribedandtheoperativeindicationsofESSweresuggested. |
| |
| Keywords: | SelaEmptyselasyndrome |
| 本文献已被 CNKI 维普 等数据库收录！ |
|
