中华内分泌代谢杂志
中華內分泌代謝雜誌
중화내분비대사잡지
CHINESE JOURNAL OF ENDOCRINOLOGY AND METABOLISM
2010年
8期
662-665
,共4页
陈刚%卓雅芬%姚瑾%梁继兴%黄惠彬%李连涛%林丽香
陳剛%卓雅芬%姚瑾%樑繼興%黃惠彬%李連濤%林麗香
진강%탁아분%요근%량계흥%황혜빈%리련도%림려향
垂体腺瘤%疾病特征
垂體腺瘤%疾病特徵
수체선류%질병특정
Pituitary adenomas%Disease characteristics
目的 探讨垂体瘤的临床特征及治疗方案.方法 回顾性分析福建省立医院自1994年1月至2007年6月间收住的239例垂体瘤患者的临床资料.结果 239例垂体腺瘤中,男性93例(38.9%),女性146例(61.1%).诊断时的平均年龄为(43.8±14.9)岁(范围为3.9～77岁).依据临床表现、影像学及内分泌检查、免疫组织化学染色所示,催乳素瘤为最常见的肿瘤(26.8%).手术治疗179例(74.9%),其中经蝶入路108例(60.3%),经额入路71例(39.7%),非手术治疗及随访者60例(25.1%).结论 垂体瘤可表现为内分泌异常、神经系统症状或其他原因行MRI意外发现;催乳素瘤为最常见的肿瘤.
目的 探討垂體瘤的臨床特徵及治療方案.方法 迴顧性分析福建省立醫院自1994年1月至2007年6月間收住的239例垂體瘤患者的臨床資料.結果 239例垂體腺瘤中,男性93例(38.9%),女性146例(61.1%).診斷時的平均年齡為(43.8±14.9)歲(範圍為3.9～77歲).依據臨床錶現、影像學及內分泌檢查、免疫組織化學染色所示,催乳素瘤為最常見的腫瘤(26.8%).手術治療179例(74.9%),其中經蝶入路108例(60.3%),經額入路71例(39.7%),非手術治療及隨訪者60例(25.1%).結論 垂體瘤可錶現為內分泌異常、神經繫統癥狀或其他原因行MRI意外髮現;催乳素瘤為最常見的腫瘤.
목적 탐토수체류적림상특정급치료방안.방법 회고성분석복건성립의원자1994년1월지2007년6월간수주적239례수체류환자적림상자료.결과 239례수체선류중,남성93례(38.9%),녀성146례(61.1%).진단시적평균년령위(43.8±14.9)세(범위위3.9～77세).의거림상표현、영상학급내분비검사、면역조직화학염색소시,최유소류위최상견적종류(26.8%).수술치료179례(74.9%),기중경접입로108례(60.3%),경액입로71례(39.7%),비수술치료급수방자60례(25.1%).결론 수체류가표현위내분비이상、신경계통증상혹기타원인행MRI의외발현;최유소류위최상견적종류.
Objective To study clinical feature and therapeutic choice of pituitary adenomas. Methods The clinical data of 239 cases of pituitary adenomas were analyzed. Results Total 93 male and 146 female cases were recruited. The average age was (43.8 ± 14.9 ) years old (3.9-77 years). Prolactinomas were the most common pituitary adenomas (26.8%) , 179 patients (74.9%) underwent surgery, of which 108 (60.3%) with transsphenoidal approach and 71 (39.7%) transcranial approach. The other 60 cases were treated nonsurgically. Conclusions Pituitary adenomas may present hormonal abnormalities or neurological symptoms.Some adenomas were accidently detected by MRI. Prolactinomas were the most common pituitary adenomas.
