客观:由经蝶骨外科探索尖锐垂体卒中和它的效果的垂体功能。方法:临床的数据和有尖锐垂体卒中的 25patients 的内分泌的荷尔蒙水平从 2002 年 1 月经历了经蝶骨外科到 June2004 的人,回顾地被分析。结果:13 个盒子在 1 个星期以内在承认和 22 个盒子以后在 3 天以内经历了外科。25 个盒子, 9 个病人在外科前承受了缺陷 ofpituitary-thyroidal 功能,垂体肾的功能的 14 个盒子和 11 盒子 ofpituitary-gonadal 功能。在外科以后, 5/9, 8/14 和 7/11 从相应垂体机能减退被恢复。结论:垂体机能减退是尖锐垂体卒中的主要表明。迫切外科解压缩贡献了垂体功能的改进。有在外科以后的垂体机能减退的病人要求了相应荷尔蒙代替治疗。
Objective: To explore the pituitary function of acute pituitary apoplexy and its effect by transsphenoidal surgery. Methods: The clinical data and endocrine hormones level of 25 patients with acute pituitary apoplexy who underwent transsphenoidal surgery from Jan. 2002 to June 2004 were retrospectively analyzed. Results: 13 cases underwent surgery within 3 days after admission and 22 cases within 1 week. Of the 25 cases, 9 patients suffered the impairment of pituitary-thyroidal function, 14 cases of pituitary-adrenal function and 11 cases of pituitary-gonadal function before surgery. After surgery, 5/9, 8/14 and 7/11 were recovered from the corresponding hypopituitarism. Conclusion: Hypopituitarism is a major manifestation of acute pituitary apoplexy. Urgent surgery decompression contributed to the improvement of pituitary function. Patients with hypopituitarism after surgery required the corresponding hormones replacement therapy.