显微手术治疗垂体腺瘤卒中(附38例报告)  

Microsurgical treatment of pituitary adenoma apoplexy(supplement for 38 cases)

作　　者：杨卫忠 王锐 石松生 倪天瑞 曾涛 张国良 刘才兴 梁日生 陈建屏 何曦 

机构地区：[1]福建省神经外科研究所,350001

出　　处：《福建医药杂志》2002年第5期1-2,共2页Fujian Medical Journal

摘　　要：目的　为了进一步提高垂体腺瘤卒中的治疗效果。方法　总结分析 38例垂体腺瘤卒中的临床表现和治疗经过。全部病例均在显微条件下进行手术 ,其中经口鼻蝶入路 2 9例 ,经额下或翼点入路 9例。结果　本组肿瘤全切除 2 9例 ,次全切除 6例 ,大部切除 3例 ,无手术死亡。术后临床症状和体征均有明显的改善 ,其中视力视野的好转尤为显著。结论　病史和 CT或 /和 MR是明确诊断该病的最佳方法 。Objective To improve further the effects of treatment for pituitary adenoma apoplexy.Methods It was summarized about the clinical data and course of treatment in 38 cases of pituitary adenoma apoplexy.All the patients underwent microsurgery,with 29 cases by the transphenoidal approach,9 cases by the inferior frontal approach or the pterion approach.Results Total Tumor removal was achieved in 29 cases,subtotal tumor removal in 6 cases,most probably removal in 3 cases.None of patients died from the microsurgery.Symptoms and signs of patients improved greatly after the operation,especially in eyesight and visual fields.Conclusion The history of disease and CT/MRI are the best choice for diagnosis of pituitary adenoma apoplexy.The ectomy for tumor lesion by microsurgery in time is an effective measure to improve effects of treatment.

关 键 词：垂体腺瘤 卒中 显微手术 治疗 

分 类 号：R736.4[医药卫生—肿瘤]