论文部分内容阅读
患者,男,26岁,农民。因头痛一年加重伴视力下降三月入院。一年前无诱因出现头痛,对症治疗能缓解。三月前头痛加重,双限视力下降入院。查体:发育呈巨人症,身高2.02米,双眼视神经乳头轻度原发萎缩,双眼视力0.8。内分泌检查:PRL 16.9μg/L,GH 13.6μg/L。头颅X线:蝶鞍呈球形扩大,CT:鞍上占位病变。术前诊断:垂体腺瘤。全麻下行右额入路垂体瘤摘除术,开颅时因额窦发育好,使额窦开放。窦顶开口
Patient, male, 26 years old, farmer. Due to headaches worsening in one year with decreased vision, she was admitted to hospital in March. One year ago there was no cause of headache in symptomatic treatment and symptomatic treatment could be alleviated. Headache worsened three months ago, and double-limited visual acuity decreased. Examination: Development was giant disease, height 2.02 meters, mild primary atrophy of the optic nerve head of both eyes, binocular vision 0.8. Endocrine examination: PRL 16.9 μg/L, GH 13.6 μg/L. Skull X-ray: Sella is spherically enlarged, CT: saddle-top lesion. Preoperative diagnosis: Pituitary adenoma. Under general anesthesia, the right frontal approach pituitary aneurysm was removed and the frontal sinus was opened due to the development of the frontal sinus. Sinus opening