卒中性垂体腺瘤的诊断与治疗

目的 探讨22例垂体腺瘤卒中病人的诊断方法及手术疗效。方法20例患行显微手术治疗，其中13例急诊手术。口鼻蝶入路14例；经翼点入路6例。结果本组术后视力明显改善7例，部分改善8例，无变化4例，恶化1例，无手术死亡。结论典型病史及颅脑MRI检查是准确诊断垂体瘤卒中的最佳手段，早期手术是挽救严重视力障碍的有效方法。

Diagnosis and Treatment of Pituitary Apoplexy

Objective To study the diagnosis and treatment of pituitary apoplexy. Methods Twenty two patients underwent microsurgical treatment, thirteen patients were treated in emergency surgery, fourteen patients underwent transsphenoidal surgery, and six patients were treated by transpterioral approach. Results Nineteen of them recovered well, visual disturbances were improved for 15 of 20, 8 of them remarkable, unchanged in four cases. One deteriorated. No patient died. Conclusion Typical clinical manifestation and MRI findings are useful in establishing the diagnosis of pituitary apoplexy.The case with persistence of the chaismatic syndromes indicates the need to consider emergency surgery. This procedure is benificial for improvement of severe visual disturbances.