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我科于1998年经单鼻孔蝶窦入路显微外科手术治疗2例垂体大腺瘤。现报告如下: 病例资料例1,男,65岁。因头痛半年伴视力进行性下降来诊。无内分泌紊乱表现,入院查体:左眼视力0.6,右眼0.4,双颞侧偏盲,双眼底视神经乳头原发性萎缩,行CT及MRI检查示垂体大腺瘤,已突入鞍上1.5cm,大小约3.0cm×2.5cm×2cm大小,鞍底骨质破坏。例2,男,64岁。因头痛伴视力进行性下降两年余来诊,并有畏寒、嗜睡、毛发脱落等,查体:右眼视力0.3,左眼视力眼前20cm指动,双眼颞侧偏盲,双
In 1998, our department received a single nostril transsphenoidal access microsurgery for the treatment of 2 cases of pituitary macroadenomas. The current report is as follows: Case information Case 1, male, 65 years old. He was diagnosed with headache due to decreased vision for half a year. No endocrine disorder performance, admission examination: left eye vision 0.6, right eye 0.4, bilateral temporal hemianopsia, primary optic atrophy of the optic fundus papillae, CT and MRI examination showed pituitary macroadenomas, has protruded into the saddle 1.5cm, The size of about 3.0cm × 2.5cm × 2cm, saddle bottom bone destruction. Example 2, male, 64 years old. Due to headache with progressive vision loss for more than two years to come to the diagnosis, and chills, drowsiness, hair loss, etc., check: right eye vision of 0.3, 20cm in front of the left eye visual acuity, bilateral temporal hemianopsia, double