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目的 总结垂体腺瘤卒中手术前后视功能变化特点及手术疗效。方法 回顾性分析 76例合并视功能障碍的垂体卒中患者 ,经蝶窦入路手术前后的视力、视野改变和影响因素。结果 12例 (15 .8% )因视功能障碍 ,入院前被误诊最长达 6年。经蝶窦手术后视力、视野的治愈缓解率分别为 86.8%和 81.6% ,6例眼肌麻痹者恢复正常 ,治愈率达 10 0 %。结论 经蝶入路减压是治疗垂体卒中患者视功能障碍的首选方法 ,对恢复视功能起重要作用
Objective To summarize the changes of visual function before and after pituitary adenoma stroke surgery and its curative effect. Methods A retrospective analysis of 76 cases of pituitary apoplexy patients with visual dysfunction, visual acuity, visual field changes and influencing factors before and after transsphenoidal approach. Results 12 cases (15.8%) were misdiagnosed up to 6 years before admission because of visual dysfunction. After transsphenoidal surgery, visual acuity and visual field cure remission rates were 86.8% and 81.6%, respectively. 6 cases of ophthalmoplegia returned to normal with a cure rate of 100%. Conclusions Decompression of transsphenoidal approach is the preferred method of treatment of visual impairment in patients with pituitary apoplexy and plays an important role in the restoration of visual function