男性巨大垂体泌乳素腺瘤的临床特征及手术治疗
Chinese Journal of Clinical Neurosurgery（2021）
Abstract
目的 探讨男性巨大垂体泌乳素(PRL)腺瘤的临床特征及手术治疗效果.方法 回顾性分析2018年7月～2019年7月手术治疗的8例男性巨大垂体PRL腺瘤的临床资料.结果 术前血清PRL水平在50.8～9 852 ng/ml,平均3 505.6 ng/ml.肿瘤全切除3例,近全切除4例,大部分切除1例.术后血清PRL恢复正常4例.8例术后症状均有好转.结论 男性巨大垂体PRL腺瘤,可首选溴隐亭治疗,若颅内压增高症状明显,可选择手术治疗.术中尽可能全切除肿瘤,保护正常垂体,术后酌情继续应用溴隐亭治疗或放疗.
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