论文部分内容阅读
目的 探讨无功能垂体微腺瘤的诊断和手术指征。方法 系统分析 1987至 1997年 1月经手术和病理证实的 11例无功能垂体微腺瘤的临床资料。结果 2例闭经 ,1例恢复正常 ;4例头痛 ,3例明显减轻 ,1例消失 ;2例视野缺损 ,1例恢复正常 ,全部病例术后垂体功能正常。结论 仅少数因有视力视野缺损和垂体功能障碍 ,大多数病例因怀疑颅内其他病变或体格检查作CT和MRI偶然发现本病。对有垂体相关症状或定期随诊中发现肿瘤增大者应经蝶窦行肿瘤切除
Objective To investigate the diagnosis and surgical indications of nonfunctional pituitary microadenomas. Methods The clinical data of 11 cases of nonfunctioning pituitary microadenomas confirmed by surgery and pathology from January 1987 to January 1997 were systematically analyzed. Results Two cases of amenorrhea, 1 case returned to normal; 4 cases of headache, 3 cases significantly reduced, 1 case disappeared; 2 cases of visual field defects, 1 case returned to normal, all cases of normal pituitary function. Conclusion Only a few patients have visual field defects and pituitary dysfunction. In most cases, the disease was accidentally found in CT or MRI because of suspected other intracranial lesions or physical examination. Transsphenoidal tumor resection should be performed for patients with pituitary-related symptoms or at regular follow-up visits.