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Microsurgical treatment of pituitary adenoma with acromegaly
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 2
- DOI:
- 10.3760/j.issn:1001-2346.2000.02.001
- Key Word:
- 肢端肥大症;肢端肥大心肌病;继发性糖尿病;显微手术治疗
Abstract： 目的提高肢端肥大症的治疗效果.方法回顾分析1984年到1997年收治的135例肢端肥大症,其中并有糖尿病23例,并有高血压14例,有肢端肥大性心肌病5例;除3例经额下入路外其余均经口鼻蝶窦入路显微手术切除肿瘤.结果全组术后1周内软组织肿胀均减轻乃至消失;128例进行GH复查的患者中GH下降至5μg/L以下者66例(51.6%);并有糖尿病者20例血糖恢复正常;5例并有肢端肥大性心肌病术后心脏全部恢复正常;但并有高血压的患者术后血压下降不明显.全组无死亡率.结论肢端肥大性心肌病及继发性糖尿病是肢端肥大症患者致死的主要原因,应严加关注,正确处理.
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