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用本法治疗11例柯兴氏病患者,8例摘除成功,3例手术失败,无1例死亡;8例切除标本中7例经电镜证实为垂体ACTH分泌腺瘤;7例缓解,其症状明显改善或消失,24小时UFC恢复正常,1例缓解不全。文中讨论了此病的诊断、手术指征及手术禁忌证。
Eleven patients with Cushing’s disease were treated by this method. Eight cases were successfully removed. Three cases failed and none died. Eight cases of resection specimens were confirmed by electron microscopy as pituitary ACTH secretory adenomas. Seven cases were relieved. Significant improvement or disappearance, UFC returned to normal 24 hours, 1 case of incomplete remission. This article discusses the diagnosis, surgical indications, and surgical contraindications for the disease.