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本文对37例垂体催乳素瘤及其治疗方案的选择进行了分析探讨。37例中已婚31例,其中27例有妊娠要求。血清催乳素值42～880ng/ml。28例行蝶鞍薄分层照片,25例发现骨质改变。CT检查10例中,8例疑有占位性病变。经鼻-蝶窦手术切除者15例,行溴隐亭治疗者22例。治疗后观察乳溢停止率、月经恢复率及受孕率,手术组分别为80％、86.6％及33.3％;澳隐亭组分别为95.4％、95.4％及50％。对与疗效有关的因素进行了分析,并对手术适应症的选择和澳隐亭治疗的指征进行了讨论。
In this paper, 37 cases of pituitary prolactinoma and its treatment options were analyzed. 31 cases were married in 31 cases, of which 27 cases of pregnancy requirements. Serum prolactin value of 42 ~ 880ng / ml. 28 cases of thin sella thin layer photographs, 25 cases of bone found changes. CT examination in 10 cases, 8 cases of suspected occupying lesions. 15 cases underwent nasal-sphenoid sinus resection and 22 cases treated with bromocriptine. After treatment, we observed the rate of cessation of overflowing, recovery of menstruation and pregnancy rate. The rates of operation were 80%, 86.6% and 33.3% respectively in the operation group and 95.4%, 95.4% and 50% respectively in the Acridine group. Efficacy-related factors were analyzed, and the choice of surgical indications and the indications for treatment of Australian cryptophthalide were discussed.