垂体脓肿——病例报告及文献复习  

PITUITARY ABSCESS: CASE REPORT AND REVIEW

作　　者：雷霆[1] 李洛[1] 胡文安[1] 鲍文公[1] 李龄[1] 

机构地区：[1]同济医科大学附属同济医院神经外科,中国湖北武汉430030

出　　处：《中国耳鼻咽喉颅底外科杂志》1999年第4期228-230,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的：报告４ 例垂体脓肿的临床表现、诊断和治疗。方法：分析４ 例垂体脓肿的临床表现，内分泌检查及诊断治疗情况，结合文献加以分析讨论。结果：４ 例中有３ 例主诉视力障碍，１ 例有明显颅内感染征象，２ 例出现垂体功能低下，病理检查证实１ 例为Ｒａｔｈｋｅ 裂囊肿合并感染，另３ 例感染机制不明。４ 例手术治疗均取得较好疗效。结论：早期诊断、积极手术及术后应用抗菌素可以治愈垂体脓肿。Objective: To study the clinical features, diagnosis and treatment of pituitary abscess. Methods: The clinical features, endocrine examination, diagnosis and treatment were described in 4 cases with a review of literature. Results: Before operation, visual disturbance was present in 3 cases, hypopituitarism in 2 and meningitis in 1. Abscess formation in Rathkes cleft cyst was confirmed by pathology in one case. Good results were achieved with surgical resection in all cases. Conclusion: Early diagnosis, surgical intervention, and follow up antibiotic therapy are effective in most cases of pituitary abscess.[

关 键 词：垂体脓肿 诊断 外科手术 临床表现 

分 类 号：R584[医药卫生—内分泌]