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垂体脓肿发病率低,致残及死亡率高。一年来我科收治4例,报告如下。男性2例,女性2例;最大48岁,最小22岁(平均37.8岁)。4例均以额颞部痛伴视力减退发病,病史最长10年,最短2月;查体均见视乳头萎缩;其中单眼失明1例,双眼失明2例。2例女性均伴多饮,多尿。x线平片见蝶鞍扩大,前、后床突有骨质吸收,2例男性鞍底骨质破坏。CT扫描均见鞍上,鞍内及蝶窦内(2例)有均匀低或略低密度伴有
Pituitary abscesses have a low incidence of morbidity and mortality. In the past year, we received 4 cases in our department. The report is as follows. There were 2 males and 2 females; the oldest was 48 years old and the youngest was 22 years old (average 37.8 years old). All the 4 cases were affected by frontotemporal pain with vision loss. The history of the disease was as long as 10 years and as short as 2 months. All the patients had visual atrophy of the papilla. One eye was blind and one eye was blind. Two eyes were blind. Both women were accompanied by more drinking and more urine. The x-ray film showed enlargement of the sella, with bone resorption in the anterior and posterior cotyledes and bone destruction in 2 men. CT scans were found on the upper part of the saddle, intrasellar and sphenoid sinus (2 cases) with uniform low or slightly lower density