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目的：提高对空泡蝶鞍综合征的CT诊断及临床表现的认识。材料与方法：回顾分析17例空泡蝶鞍综合征的临床与CT表现。结果：17例中有15例表现为内分泌症状，主要有停经泌乳、尿崩症等，另2例表现为视力障碍。常规轴位、冠状位CT扫描征象有：鞍内低密度、鞍上池模糊、三脑室下移、“漏斗征”、垂体蒂下移、后移，垂体受压变扁平，蝶鞍扩大等；脑地造影CT可见造影剂进入鞍内。结论：作者认为本症临床表现与致病因素及病变的严重程度有关，CT是较理想的诊断手段。横断面CT可作筛选，冠状面CT一般可明确诊断，疑难者可由脑池造影CT确诊。
Objective: To improve the diagnosis of vacuolar sella syndrome and CT findings. Materials and Methods: The clinical and CT findings of 17 cases of vacuolar sella syndrome were retrospectively analyzed. Results: 15 cases of 17 cases showed endocrine symptoms, mainly menopause lactation, diabetes insipidus, and the other 2 cases showed visual impairment. Conventional axial, coronal CT scan signs are: low-density saddle, suprasellar pool fuzzy, three ventricle down, “funnel sign”, pituitary pedicle down, after the shift, pituitary compression flat, sella enlargement; Brain contrast CT visible contrast agent into the saddle. Conclusion: The authors believe that the clinical manifestations of the disease and pathogenic factors and the severity of the disease, CT is an ideal diagnostic tool. Cross-sectional CT can be used for screening, coronal CT can generally confirm the diagnosis, the difficulties can be diagnosed by cerebral pool CT.