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原发性空蝶鞍是一种解剖上的变异,蛛网膜下腔通过缺损的鞍膈伸入蝶鞍引起蝶鞍扩大,变形、垂体受压萎缩等病理改变。主要表现为头痛、视力下降及视野缺损,难与鞍医肿瘤区别。我科从1977年4月至1989年7月共收治10例,均经手术证实,现分析报告如下。 临床资料 本组男4例、女6例。年龄23～55岁,平均38.9岁。病程3个月～17年,其中1年以内3例,1～5年4例,5年以上3例,平均4.3年。首发症状:头痛4例,视力下降及视野缺损3例,多饮多尿3例。表现为:额眶部头痛8例;视力、视野障碍7例;多饮多尿3例,性欲下降3例、闭经1例。检查:血压增高3例,眼底
Primary empty sella is an anatomical variant of the subarachnoid space through the defect into the sella saddle caused by sella enlargement, deformation, pituitary compression and other pathological changes. Mainly for the headache, decreased visual acuity and visual field defects, difficult and saddle the difference between the tumor. Our department from April 1977 to July 1989 were treated 10 cases were confirmed by surgery, the analysis is as follows. Clinical data The group of 4 males and 6 females. Age 23 to 55 years old, average 38.9 years old. Duration of 3 months to 17 years, of which 3 cases within 1 year, 1 to 5 years in 4 cases, more than 5 years in 3 cases, an average of 4.3 years. The first symptom: headache in 4 cases, decreased visual acuity and visual field defects in 3 cases, polydipsia in 3 cases. Performance: frontal orbital headache in 8 cases; visual acuity, visual field disorders in 7 cases; polydipsia in 3 cases, 3 cases of loss of libido, amenorrhea in 1 case. Check: blood pressure in 3 cases, fundus