【摘要】 目的 探讨垂体腺瘤卒中的诊治方法。方法 回顾分析36例垂体腺瘤卒中的临床表现、影像学检查结果、以及手术治疗情况。结果 CT阳性率为55%，MRI阳性率为94%。经蝶手术33例，经额手术3例。全切除26例，次全切除5例，部分切除5例。术后头痛缓解，呕吐停止，有意识障碍者逐渐清醒，术前视力在有光感以上者均有不同程度好转，眼肌麻痹均有改善。随访28例，治愈7例，缓解16例，无缓解2例，复发3例。结论 MRI诊断垂体腺瘤卒中优于CT，尽早经蝶手术减压对于改善预后意义重大。

    Huo Gang，Zheng Luping，Tang Wenyuan

    Department of Neurosurgery，The First Affiliated Hospital of Chongqing University of Medical Sciences，Chongqing400016.

    【Abstract】 Objective To study the diagnosis and treatment of hemorrhagic pituitary adenomas.Methods The clinical presentations，imaging studies and surgical outcomes in36patients with hemorrhagic pituitary adenomas were analyzed retrospectively.Results CT scans and MRI scans may reveal hemorrhagic lesions in55%and94%of the patients，respectively.33cases were operated transsphenoidally and3cases were operated transfrontally.26cases got the tumors removed totally，5cases removed subtotally and5cases removed partially.An improvement in the deficits of visual acuity ......