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100例血清泌乳激素升高并作了经蝶窦手术探查的病例,对其蝶鞍断层、气脑、和颈动脉造影表现进行了温习,并与手术结果对照.此100例中女性97例,年令14～63岁间,平均29岁.临床主要症状为闭经和溢乳,男性患者为阳萎和乳腺发育,有时可有溢乳.手术探查结果:96例为垂体腺瘤,其中53例为小于10毫米的小腺瘤:另4例病理证实为垂体腺增生.平片上蝶鞍测量72例正常,但断层上显示96例蝶鞍形状异常,最常见的改变为鞍底前部膨隆,骨壁变薄但完整,88例只凭断层摄影作出病变在鞍内的定位,与手术发现完全一致.
100 cases of elevated serum prolactin and cases undergoing transsphenoidal sinus surgery were studied. The performances of the sphenoid saddle, pneumoencephalography, and carotid angiography were reviewed and compared with the surgical results. Among the 100 cases, 97 were women. Between the ages of 14 to 63 years old, average 29 years old. The main clinical symptoms of amenorrhea and galactorrhea, male patients with impotence and breast development, and sometimes can have galactorrhea. Surgical exploration results: 96 cases of pituitary adenomas, of which 53 cases were less than 10 mm small adenoma: The other 4 cases confirmed pathological hyperplasia of the pituitary gland. Plain film on the sella measurement 72 cases were normal, but the fault shows 96 cases of sella shape abnormalities, the most common change is the anterior bottom of the saddle bulging, bone wall Thinning but complete, 88 cases only rely on the tomography to make the location of the lesion in the saddle, exactly the same with the surgical findings.