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近年来,随着显微手术的普及,经蝶窦施行垂体手术已引人注目,特别是最近的放射免疫测定,以各种激发试验为中心的内分泌诊断学,精细的 X 线多体层照相术,高分辨力 CT 的运用,以及神经放射学的惊人进步,使多数垂体微腺瘤能被发现;另一方面,在手术前后通过内分泌学检查,手术标本经电镜及酶抗体法的免疫组织学检查,使得柯兴氏病、溢乳闭经等病理也逐步得以阐明。垂体腺瘤的分期福岛考德根据 CT 图像和其他神经放射学检查以及临床症状,将垂体腺瘤分为5期:Ⅰ期:微腺瘤。Ia:蝶鞍正常,肿瘤为
In recent years, with the popularity of microsurgery, transsphenoidal sinus surgery has attracted attention, especially recent radioimmunoassay, endocrinology diagnostics centered on various provocation tests, and detailed X-ray multisizing The use of surgery, the use of high-resolution CT, and the amazing advances in neuroradiology have led to the discovery of many pituitary microadenomas; on the other hand, endocrinological examination before and after surgery, surgical specimens by electron microscopy and enzyme antibody immunohistochemistry Examinations have made it possible to clarify the pathology of Cushing’s disease and galactorrhea amenorrhea. Stages of pituitary adenomas Fukushima Kad is based on CT images and other neuroradiological examinations and clinical symptoms. Pituitary adenomas are divided into 5 phases: Phase I: Microadenomas. Ia: normal sella, tumor is