论文部分内容阅读
本文说明蝶鞍大小正常的患者,可隐藏有分泌催乳激素的微腺瘤,这只有用蝶鞍断层照象才能发现。在过去两年内,作者对所有闭经溢乳的门诊病人,都进行血清催乳素的放射免疫测定,都摄头颅平片和蝶鞍断层象。用余弦摆动线断层法,作前后位和侧位断层,每隔3毫米摄取6个层次。有的病例又摄颅底位断层,以便更好的了解蝶鞍前壁。作者的20例垂体瘤患者,均有血清催乳素增高和蝶鞍的改变。在光学显微镜的探视下,都经蝶窦做了蝶鞍手术。结果全部病例都发现有垂体腺瘤。这20例中,14例蝶鞍大小正常,6例蝶鞍增大。 1932年Krestin首先描述此病,并提出可能是一种激素的作用。此后Forbes等报告15例无肢端肥大
This article shows the normal size of the sella in patients with hidden secretions of prolactin micro-adenoma, which can only be found with the sella. In the past two years, the authors conducted a serum prolactin radioimmunoassay for all amenorrhea outpatients, both craniotomes and sella. With the cosine swing line tomography, anteroposterior and lateral position of the fault, every 3 mm intake 6 levels. In some cases, the skull base has been cut to provide a better understanding of the anterior sella of the sella. The authors of 20 patients with pituitary tumor, both elevated serum prolactin and sella changes. Under the optical microscope to visit, have done a transsphenoidal operation through the sphenoid sinus. Results All cases were found to have pituitary adenoma. In these 20 cases, 14 cases of normal sellar size, 6 cases of sella increased. Krestin first described the disease in 1932 and proposed that it may be a hormone. After Forbes and other reports of 15 cases without limb hypertrophy