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垂体腺瘤116例临床分析

Clinical analysis of 116 cases of pituitary tumor

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【作者】 张鹏远巩泽远候多凡

【Author】 Zhang Pengyuan;et al. (The Second Affiliated Hospital, Henan Medical University,Zhengzhou,450003 )

【机构】 河南医科大二附院!郑州450003河南省宁陵县人民医院!宁陵476700安钢职工总医院!安阳455004

【摘要】 对116例垂体腺癌进行回顾性总结。垂体腺疗占同期颅内肿瘤的11.3%。女性病人多以月经紊乱就诊(91.3%),男性病人则多以视力下降就诊(93.6%)。血清PRL增高80.4%。颅骨X片示鞍窝扩大97例(83.6%),伴后床突骨质疏松76例(78.3%)。CT平扫肿瘤呈低密度64例(55.2%),等密度38例(32.7%),高密度14例(12.1%)。MRIT1加权呈略低信号58.1%,等信号37.7%。T2加权均呈高信号。全组手术治疗108例,术后视力改善69例(88.4%),泌乳停止20例(57.5%),月经恢复6例(8.9%),脑室扩大14例恢复正常(78.7%)

【Abstract】 116 cases of pituitary tumor were reviewed. It possessed 11. 3% of intracranial tumors during the same period. Chief complaint was menstrual disorder in women (91. 3% ) while hopopsia in men(93.6% ). Enlargement of sella turcica on x-ray plain film was 97 cases (83. 6% ), accompanied with osfeoporosis of posterior clinoid process 76 cases (78. 3% ). low, isotonic, high density tumor showed on CT was 55. 2%, 32. 7% and 12. 1% respectively. Little low and isonotic signal on T1-weightel of MRI was 58. 1% and 38.7% respectively, and high signal on T2-weighted was all. 108 cases of all patients were operated on,of which vision took a tum for the better in 69 cases,lactation had a stop in 20 cases, mentruation turned to normal in 6 cases.

  • 【文献出处】 河南实用神经疾病杂志 ,HENAN JOURNAL OF PRACTICAL NERVONS DISEASES , 编辑部邮箱 ,1999年03期
  • 【分类号】R736
  • 【下载频次】21
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