垂体脓肿的CT、MRI诊断  

CT、MRI Diagnosis of Pituitary Abscess

作　　者：贾同乐 幸兵[2] 佟建洲[1] 郭艳萍[1] 李冉[1] 孙小虎[1] 

机构地区：[1]河北省保定市第一中心医院神经外科,保定071000 [2]中国医学科学院中国协和医科大学北京协和医院神经外科,北京100730

出　　处：《中国医学影像学杂志》2003年第4期262-263,265,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :提高垂体脓肿的术前CT、MRI诊断水平。材料和方法 :回顾性分析 7例垂体脓肿患者的病历资料 ,结合文献对其影像学特征 ,术前误诊及诊断情况进行分析讨论。结果 :7例患者术前诊断垂体脓肿只有 1例 ,诊断为垂体炎 1例。表现各种垂体功能低下 5例。中枢性尿崩 5例。垂体脓肿的CT表现与脑脓肿无区别。垂体脓肿MRI表现趋向T2高信号 ,T1等或低信号 ,伴有环状增强。部分患者MRI表现为T1高信号T2高信号。结论 :垂体脓肿的影像学诊断有赖于综合分析CT、MRI影像特征及脓肿的间接影像表现。垂体功能的减退及中枢性尿崩的出现对垂体脓肿的鉴别诊断有重要意义。Purpose:To improve accuracy of image diagnosis of the pituitary abscess before operation. Materials and Methods:Seven patients with the pituitary abscess were reviewed. The image features, preoperative diagnosis were analyzed and discussed retrospectively. Results:Of seven patient,only one was preoperatively diagnosed as the pituitary abscess and one patient as the hypophysitis. In this group, the various hypopituitarism was 71.4% and central diabetes insipidus was 71.4% in clinical study. CT feature of the pituitary abscess was not different with the abscess in brain. MR image showed high signal on T2WI and isointense or hypointense signal on T1WI in the pituitary abscess. Postcontrast T1WI showed a thin rim of enhancement?Both T1WI and T2WI were high signal in part of the patients. Conclusion:CT combined with MRI could improve the accuracy of diagnosis of pituitary abscess. The clinical data of central diabetes insipidus and hypopituitarism can play a very important role in differential diagnosis of pituitary abscess.

关 键 词：垂体脓肿 CT MRI 影像学诊断 临床表现 经蝶窦垂体探查手术 

分 类 号：R584[医药卫生—内分泌] R816.1[医药卫生—内科学]