【摘要】 目的探讨原发性甲状腺功能减退致垂体增生的正确诊断原则和治疗方法。方法分析入院时被误诊为垂体腺瘤的8例原发性甲状腺功能减退致垂体增生患者治疗前后的临床表现、内分泌检查结果及磁共振(MRI)表现。结果垂体腺瘤与原发性甲状腺功能减退症致垂体增生具有类似的临床表现及影像学特点,如甲减相关症状、周围器官受压致视力障碍等症状,MRI示垂体明显增大等,在临床工作中不易区分。结论原发性甲状腺功能减退症所致垂体增生易误诊为垂体腺瘤,但是系统的实验室检查和规范的诊治措施可以减少和避免误诊的发生。更多还原

【Abstract】 Objective To discuss the principles of correct diagnosis and treatment of pituitary hyperplasia in patients with primary hypothyroidism.Methods 8cases with pituitary hyperplasia due to primary hypothyroidism were reported.The clinical data of 8primary hypothyroidism patients with pituitary hyperplasia received endocrinology and MRI examinations on admission to hospital,before and after thyroid hormone replacement therapy.Results Pituitary adenomas and pituitary hyperplasia due to primary hypothyroidism were with similar clinical and radiological features.It is hard to distinguish in clinical work.Conclusion Pituitary hyperplasia caused by primary hypothyroidism and pituitary adenomas were with similar imaging features,often misdiagnosed.However,laboratory diagnosis system of measures and norms can avoid misdiagnosis.更多还原