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目的总结垂体瘤的诊治经验。方法回顾性分析南京军区南京总医院2001—2006年61例垂体瘤患者的临床资料。评价其发生率、临床表现、内科及外科治疗方法的疗效。结果大腺瘤共48例,手术以经蝶窦术式为主。内科治疗以溴隐停为代表的多巴胺2受体激动药为首选。结论垂体瘤中催乳素瘤和生长激素瘤发病率较高,分别占23%、20%。大腺瘤的治疗主要采取手术治疗。
Objective To summarize the diagnosis and treatment of pituitary tumors. Methods The clinical data of 61 patients with pituitary adenoma from Nanjing General Hospital of Nanjing Military Region from 2001 to 2006 were retrospectively analyzed. Evaluation of its incidence, clinical manifestations, medical and surgical treatment of curative effect. Results A total of 48 cases of large adenomas, the main operation of the transsphenoidal surgery. Medical treatment with bromocriptine dopamine 2 receptor agonists as the first choice. Conclusions The incidence of prolactinomas and growth hormone tumors in pituitary adenomas is high, accounting for 23% and 20% respectively. The treatment of large adenomas mainly take surgical treatment.