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我科近几年来收治7例经手术和病理证实的鞍区少见的肿瘤。现报告如下: 例1,女,16岁,因双眼视力减退9个月,停经5个月,于1986年4月入院。检查:视力左眼仅能辨指数,右眼0.9,无偏育。颅骨平片,蝶鞍扩大,骨质破坏。头部CT扫描,考虑垂体瘤。开颅手术,术中见颅内呈纤维分隔状,充满血液,施行大部分切除。病理报告为动脉瘤样骨囊肿。术后视力恢复至左眼0.3,右眼1.5,辅以放射治疗。一年后随访,复查CT,见肿瘤已消失。
In recent years, our department treated 7 cases of rare sellar tumors confirmed by surgery and pathology. Now report as follows: Example 1, female, 16 years old, due to binocular vision loss for 9 months, menopause 5 months, admitted in April 1986. Check: visual acuity left eye only index, right eye 0.9, no bias. Skull plain film, sella expand, bone destruction. Head CT scan, consider pituitary tumor. Craniotomy, intraoperative see intracranial fibroids, full of blood, the implementation of the majority of resection. Pathology report for aneurysmal bone cyst. Postoperative visual acuity recovered to the left eye 0.3, right eye 1.5, supplemented with radiotherapy. Follow-up after a year, review CT, see the tumor has disappeared.