The Observation of Pituitary Function in Patients with Acute Pituitary Apoplexy before and after Transsphenoidal Surgery  

急性垂体腺瘤卒中患者经蝶手术前后垂体功能的观察(英文)

作　　者：何跃[1] 张华楸[1] 李勇[1] 李雄[1] 王雄伟[1] 舒凯[1] 雷霆[1] 李龄[1] 

机构地区：[1]武汉市华中科技大学同济医学院附属同济医院神经外科,430030

出　　处：《The Chinese-German Journal of Clinical Oncology》2006年第3期194-196,共3页中德临床肿瘤学杂志（英文版）

基　　金：This project was supported by a grant from the National Natural Science Foundation of China (No. 39670736).

摘　　要：Objective： To explore the pituitary function of acute pituitary apoplexy and its effect by transsphenoidal surgery. Methods： The clinical data and endocrine hormones level of 25 patients with acute pituitary apoplexy who underwent transsphenoidal surgery from Jan. 2002 to June 2004 were retrospectively analyzed. Results： 13 cases underwent surgery within 3 days after admission and 22 cases within 1 week. Of the 25 cases, 9 patients suffered the impairment of pituitary-thyroidal function, 14 cases of pituitary-adrenal function and 11 cases of pituitary-gonadal function before surgery. After surgery, 5/9, 8/14 and 7/11 were recovered from the corresponding hypopituitarism. Conclusion： Hypopituitarism is a major manifestation of acute pituitary apoplexy. Urgent surgery decompression contributed to the improvement of pituitary function. Patients with hypopituitarism after surgery required the corresponding hormones replacement therapy.

关 键 词：acute pituitary apoplexy transsphenoidal approach MICROSURGERY pituitary function 

分 类 号：R736.4[医药卫生—肿瘤]