垂体瘤卒中的研究进展

发布时间：2018-03-14 04:20

本文选题：瘤卒中　切入点：经蝶窦入路手术　出处：《中风与神经疾病杂志》2017年04期 　论文类型：期刊论文

【摘要】：正垂体卒中(pituitary apoplexy,PA)是出血或梗死的垂体腺瘤在蝶鞍内快速扩张,进而压迫临近结构(海绵窦及第三脑室等),以突发的头痛、急性视力下降为主要表现的一种临床综合征。发病年龄大多在50岁以后,男性较女性多。临床表现包括:头痛、恶心、呕吐、视力减退、视野缺损、眼肌麻痹以及意识障碍。最常用的辅助检查是核磁共振。手术治疗和保守治疗均能有效地改善患者的预后。手术治疗包括经蝶窦入路手术和开颅手术,多数报告认为经蝶窦入路手术对患者预后更佳。部分患者需要长期激素替代治疗。
[Abstract]:Positive pituitary apoplexy (pituitary apoplexy PA) is the rapid expansion of pituitary adenoma hemorrhage or infarction in the sella, and compression of adjacent structures (cavernous sinus and three ventricle), with a sudden acute headache, decreased visual acuity was mainly a clinical syndrome. Most of the age of onset after the age of 50, more men women. Clinical manifestations include headache, nausea, vomiting, decreased visual acuity, visual field defect, ophthalmoplegia and disturbance of consciousness. The auxiliary examination is the most commonly used magnetic resonance imaging. Surgical treatment and conservative treatment can effectively improve the prognosis of the patients. Surgical treatment included transsphenoidal surgery and craniotomy, the majority report that transsphenoidal surgery on patients with a better prognosis. Some patients need long-term hormone replacement therapy.

【作者单位】：吉林大学白求恩第一医院神经肿瘤外科;广东三九脑科医院神经外科;
【基金】：吉林省卫生厅项目(No.2010Z067)
【分类号】：R736.4;R743.3

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