摘要
目的 为提高对垂体脓肿的诊治水平。方法 报道9例垂体脓肿,结合文献对其临床表现、影像学特征、诊断和治疗进行分析讨论。结果 9例中2例术前诊断为垂体脓肿,7例诊断为其它鞍区病变。5例经鼻蝶手术,4例经额下或翼点入路手术。术后均给予抗菌素治疗。术后视神经功能障碍恢复不理想,其它症状均改善,无脓肿复发。结论 早期诊断、及时手术清除脓肿和术后应用抗菌素是治疗垂体脓肿的关键。
Objective To improve the diagnosis and treatment of pituitary abscess. Methods Nine patients with pituitary abscess were reported and their clinical features, image features, diagnosis and treatment were analyzed retrospectively. Results Two cases were preoperatively diagnosed as the pituitary abscess and seven as the pituitary neoplasms. The operation via the transsphenoidal approach was performed in five cases and via the subfrontal or the pteroidal approach in four cases. The patients received a regimen of antibiotics postoperatively. The visual disturbance was not completely resoluted and the other sympotoms were improved after the operation. There was no recurrence of the pituitary abscess in the 9 patients. Conclusions Early diagnosis, early operative drainage of the abscess and the postoperation antibiotics therapy are the key to treatment of the pituitary abscess.
出处
《中国临床神经外科杂志》
2002年第3期154-156,共3页
Chinese Journal of Clinical Neurosurgery
