垂体瘤卒中的诊断和治疗（附49例报告）  

Diagnosis and treatment of pituitary apoplexy: Report of forty-nine cases

作　　者：王任直[1] 任祖渊[1] 苏长保[1] 王运华 王伟刚[1] 郭兰君[1] 任宇波 徐林[1] 张海 

机构地区：[1]北京协和医院神经外科

出　　处：《中华神经外科杂志》1995年第5期255-258,共4页Chinese Journal of Neurosurgery

摘　　要：１９８０年３月至１９９４年８月我科共收治４９例垂体腺瘤卒中病人，占同期垂体腺瘤病人的４．４％。临床表现与垂体组织破坏和肿瘤卒中后压迫垂体周围结构及程度有关，主要表现为头痛、恶心呕吐、视力视野障碍、眼肌麻痹及意识障碍等。内分泌学检查约２／３病人有部分或全垂体功能低下。影像学检查均为垂体大腺瘤，部分病人伴有部分空泡蝶鞍。本文就垂体腺瘤卒中病人的诊断、分型及治疗原则进行了讨论，认为垂体腺瘤卒中可使部分分泌型病人的症状和体征缓解，起到自然治愈的功效。Abstract Forty-nine patients with pituitary apoplexy (PA) were treated in our department during March, 1980 to August, 1994. It possesses 4. 4% of the total pituitary adenoma patients in the same period. The clinical manifestations are related to compression or invasion of the surrounding structures. Mainly are headache, nausea and vomiting, visual disturbance,ocular palsy and decreased level of consciousness. Most of the patients have partial or complete hypopituitarism that were confirmed by endocrinological examination.All cases sustained large pituitary adenoma, and some accompanied with empty sella. In this paper,the diagnosis, clinical pattern and principle of treatment were discussed.

关 键 词：垂体肿瘤 卒中 诊断 治疗 

分 类 号：R736.4[医药卫生—肿瘤]