原发性空泡蝶鞍激素及影像学研究  

Hormonal and radiographic features of primary empty sella

作　　者：陈睿 蒋怡然[1] 周薇薇[1] 姜蕾[1] 苏颋为[1] 王卫庆[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院内分泌代谢病科、上海市内分泌代谢病研究所、上海市内分泌代谢病临床医学中心,200025

出　　处：《中华内分泌代谢杂志》2017年第10期849-853,共5页Chinese Journal of Endocrinology and Metabolism

摘　　要：回顾性分析2012年至2016年上海市瑞金医院内分泌代谢病科收治的116例原发性空泡蝶鞍患者的临床资料，通过胰岛素低血糖激发试验及垂体核磁共振显像（MRI）探究原发性空泡蝶鞍（PES）垂体储备功能减退风险筛查指标。结果显示43例（37.07%）PES患者存在垂体储备功能减退风险。垂体高度小于2.35 mm及垂体矢状面面积小于23.5 mm^2 PES患者垂体储备功能减退风险高。Clinical data of 116 cases diagnosed as primary empty sella （PES） from 2012 to 2016 in the Department of Endocrine and Metabolic Diseases, Ruijin Hospital were analyzed in this study. Insulin-induced hypoglycemia test and magnetic resonance imaging （MRI） were applied to explore the predictive factors of hypopituitarism in patients with PES. The results showed that 43 （37.07%） patients with PES were with hypopituitarism. Pituitary height〈2.35 mm and pituitary sagittal area〈23.5 mm^2 indicated a high risk of hypopituitarism in patients with PES.

关 键 词：原发性空蝶鞍 垂体功能减退 胰岛素诱导低血糖激发试验 

分 类 号：R445.2[医药卫生—影像医学与核医学] R584[医药卫生—诊断学]