部分空蝶鞍合并垂体腺瘤诊断和手术治疗  

Diagnosis and surgical treatment of coexiting partially empty sella and pituitary adenomas

作　　者：苏长保[1] 任祖渊[1] 王任直[1] 徐林[1] 杨义[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院神经外科

出　　处：《中华神经外科杂志》1996年第4期207-209,共3页Chinese Journal of Neurosurgery

摘　　要：报道１９７９年４月至１９９５年２月经手术和（或）影像学证实的１５例，部分空泡蝶鞍（ＰＥＳ）合并垂体腺瘤，占同期垂体腺瘤的１．６％，其中合并肢端肥大症６例，柯兴氏病５例，泌乳素腺瘤３例，无功能腺瘤合并自发性脑脊液鼻漏１例。本组１４例经蝶窦显微外科手术切除垂体腺瘤，术后均达到治愈和缓解，无１例发生术后脑脊鼻漏。本文就其病因、发病机制、诊断、处理原则和手术技巧等进行了较详细的讨论。partially empty sella(PES)associated with pituitary edenomas is very rare.Fifteen cases of thsis disease confirmed by operation and or imaging findings from April 1979 to June 1995 are reported accounting for 1.6% of all pituitary adenomas of the same peroid.Among these patients there were 6 cases with acromegary, 5 with Cushing's disease,3 with PRL-secreting adenoma and One with non-functional adenoma presenting sponteneous cerebrospinal rhinorrhea. Fourteen cases of them underwent transsphenoidal microsur...

关 键 词：部分空泡蝶鞍 垂体腺瘤 经蝶窦显微外科手术 

分 类 号：R736.4[医药卫生—肿瘤]