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1980年3月至1994年8月我科共收治49例垂体腺瘤卒中病人,占同期垂体腺瘤病人的4.4%。临床表现与垂体组织破坏和肿瘤卒中后压迫垂体周围结构及程度有关,主要表现为头痛、恶心呕吐、视力视野障碍、眼肌麻痹及意识障碍等。内分泌学检查约2/3病人有部分或全垂体功能低下。影像学检查均为垂体大腺瘤,部分病人伴有部分空泡蝶鞍。本文就垂体腺瘤卒中病人的诊断、分型及治疗原则进行了讨论,认为垂体腺瘤卒中可使部分分泌型病人的症状和体征缓解,起到自然治愈的功效。
From March 1980 to August 1994, 49 patients with pituitary adenomas were treated in our department, accounting for 4.4% of patients with pituitary adenomas in the same period. The clinical manifestations are related to the destruction of pituitary tissue and the structure and degree of compression around the pituitary after stroke. The main manifestations are headache, nausea, vomiting, visual field disturbance, ophthalmoplegia, and disturbance of consciousness. About 2/3 of patients with endocrinology have partial or hypopituitarism. Imaging examinations were pituitary adenomas. Some patients were accompanied by some vacuolar sella. This article discusses the diagnosis, classification and treatment principles of patients with pituitary adenoma stroke. It is believed that the pituitary apoplexy stroke can relieve the symptoms and signs of some patients with secretory type, and it has a natural healing effect.