空蝶鞍于1951年经尸检首次发现,系指鞍膈缺损垂体萎缩鞍内空虚并与蛛网膜下腔相交通的一组临床综合征而言。分原发与继发两类。本文侧重于原发空蝶鞍综合征的讨论,旨在通过临床、X 线及手术对照,提高 X 线的诊断水平,以避免不必要的手术或放射治疗。并结合文献对其成因讨论如下。 The empty sella was first discovered by autopsy in 1951, referring to a group of clinical syndromes in which the pituitary atrophy of the saddle atrophy was atrophic in the saddle and communicated with the subarachnoid space. There are two types of primary and secondary points. This article focuses on the discussion of primary empty sella syndrome, aimed at improving the diagnostic level of X-rays through clinical, X-ray and surgical controls to avoid unnecessary surgery or radiation therapy. Combined with the literature, the causes of the discussion are as follows.