垂体瘤卒中手术后患者视力视野改变的临床研究  

A clinical study on the improvement of visual field and eyesight of pituitary adenomas apoplexy patients after operation

作　　者：刘乐[1] 高国栋[1] 赵振伟[1] 李永林[1] 贾栋[1] 

机构地区：[1]第四军医大学唐都医院神经外科,西安710038

出　　处：《陕西医学杂志》2005年第5期552-554,共3页Shaanxi Medical Journal

摘　　要：目的探讨垂体瘤卒中手术后视力、视野的改善情况。方法对38例垂体瘤卒中患者均采用手术治疗,其中25例采取急诊手术治疗,其余13例采取择期手术治疗。结果急诊手术治疗术后视力、视野完全恢复正常14例(56.00%),部分恢复9例(36.00%),无变化2例(8.00%);择期手术治疗术后视力、视野完全恢复正常2例(15.38%),部分恢复6例(46.15%),无变化3例(20.00%),恶化2例(15.38%)。结论垂体瘤卒中发病后手术时间越早,术后病人视力及视野恢复越好。Objective: To explore the improvement of visual field and eyesight of pituitary adenomas apoplexy patients after operation. Methods: 38 cases of pituitary adenomas apoplexy patients were treated with operation, 25 cases with emergency operation, 13 cases with selective operation. Results: In 25 cases with emergency operation,14 cases(56.00%) recovered in visual field and eyesight;9 cases(36.00%) improved;2 cases(8.00%) no change. In 13 cases with selective operation, 2 cases(15.38%) recovered in visual field and eyesight;6 cases(46.15%) improved; 3 cases(20.00%)had no change; 2 cases(15.38%) worsened. Conclusion: Satisfactory improvement of visual field and eyesight can be achieved in pituitary adenomas apoplexy patients through operation. The earlier operation is done, the better effects achieved.

关 键 词：垂体瘤卒中 临床研究 视野改变 术后患者 急诊手术治疗 手术后视力 改善情况 卒中患者 手术时间 术后病人 恢复 发病后 择期 

分 类 号：R651.13[医药卫生—外科学] R774.6[医药卫生—临床医学]