围手术期糖皮质激素替代疗法对鞍区病变患者预后影响的随机对照试验

来源 :中华医学会2015全国神经肿瘤学术大会 | 被引量 : 0次 | 上传用户:geqatm
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的 评价对于术前下丘脑-垂体-肾上腺皮质功能正常的鞍区占位患者围手术期不应用糖皮质激素的安全性及对预后的影响.方法 纳入研究期间,本中心收治的影像学确认鞍区占位拟行手术患者.根据患者的HPA 轴基础功能及储备功能评估结果,纳入HPA 轴功能正常的患者,随机分为试验组(不应用糖皮质激素组),及对照组(糖皮质激素快速减量组).入院后对患者进行全面的垂体功能评估.于术后及一年随访期中密切随访患者术后短期及中长期HPA 轴功能、术后并发症发生情况等.本随机对照临床试验通过本中心临床研究伦理委员会批准,并于ClinicalTrials.gov 通过注册认证(NCT02190994).采用Stata SE 12.1 统计软件包进行统计分析处理.
其他文献
Background:Tumor markers are widely applied in clinical practice,however,few serum markers have been found for intracranial tumors.Herein,we firstly report an i
会议
  Background To compare the clinical results and complications between endoscopic and microscopic techniques in 247 patients with pituitary tumors.Methods We
  Objective: To retrospectively analyze cases of surgically treated skull base chordoma,so as to summarize the clinical classification of this tumor and the s
  Background:This retrospective study assessed the effectiveness of neuroendoscopy compared with non-neuroendoscopic procedures for treating intracranial late
  Tumor-like hypophysitis is an uncommon sellar condition that presents as inflammatory lesions on the structures of the pituitary gland.Diagnosis and managem
  Objective:To review clinical presentation and surgical outcome of pituitary apoplexy and to explore the clinical significance of presurgical serum prolactin
  Background:This retrospective study assessed the effectiveness of neuroendoscopy compared with non-neuroendoscopic procedures for treating intracranial late
  生殖细胞突变germline mutation是指在生殖细胞中发生的任何可检测、可遗传的突变。在生殖细胞以外的细胞中发生的突变称为体细胞突变,也称作获得性突变。体细胞突变不会
会议
RT-PCR and western blot analysis showed that RIZ1 was downregulated in HGG compared with LGG and normal brain tissue.Immunohistochemistry showed less RIZ1 label
会议
目的 斜坡脊索瘤治疗棘手,预后较差,本研究拟探讨斜坡脊索瘤骨质侵袭程度与预后的关系.方法 回顾性分析19例我科治疗的斜坡脊索瘤病例,包括MR、CT、手术治疗及临床随访等,根
会议