[1]吴昊泽,白茫茫,雷盼,等.鞍区黄色肉芽肿1例报告并文献复习[J].临床神经外科杂志,2018,15(04):311-313.
 WU Hao-ze,BAI Mang-mang,LEI Pan,et al.A case of xanthogranuloma in saddle area and literature review[J].Journal of Clinical Neurosurgery,2018,15(04):311-313.
点击复制

鞍区黄色肉芽肿1例报告并文献复习()
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年04期
页码:
311-313
栏目:
临床研究
出版日期:
2018-08-15

文章信息/Info

Title:
A case of xanthogranuloma in saddle area and literature review
作者:
吴昊泽白茫茫雷盼张剑宁赵虎林王亚明汤其华玉壮李建广韩铖琛
716000 延安,延安大学附属医院神经外科(吴昊泽,白茫茫,雷盼);海军总医院神经外科(张剑宁,赵虎林,王亚明,汤其华,玉壮,李建广,韩铖琛)
Author(s):
WU Hao-zeBAI Mang-mangLEI Panet al.
Department of Neurosurgery,Yan'an University Affiliated Hospital,Yan’an 716000,China
关键词:
颅内占位鞍区黄色肉芽肿
Keywords:
intracranial spacesaddle areaxanthogranuloma
分类号:
R739.41
文献标志码:
D
摘要:
目的 探讨鞍区黄色肉芽肿的诊断、治疗及预后。方法 回顾性分析1例鞍区黄色肉芽肿患者的临床资料;并复习相关文献,分析该病的临床、影像学特点及治疗措施。结果 患者表现头痛、头晕及视觉障碍(右眼视力0.6,左眼视力0.5,视野缺损明显);内分泌检查未见明显异常。行内镜下经鼻蝶鞍区病变切除术。术后病理检查为黄色肉芽肿。术后患者头痛、头晕症状消失,视力下降好转,视野缺损明显好转,内分泌检查未见明显异常。并发的尿崩经对症治疗后好转。结论 鞍区黄色肉芽肿是一种十分罕见的鞍区良性占位性病变,术前诊断困难,手术治疗是其首选的治疗方法,复发少见。
Abstract:
Objective To explore the diagnosis,treatment and prognosis of sella xanthogranuloma.Methods The clinical data of one xanthogranuloma in the sellar area were retrospectively analyzed.Results The patient had preoperative headache dizziness and a visual acuity of 0.6 in the right eye and 0.5 in the left eye.Endocrine examination had no obvious abnormalities.After admission,sellae lesion was resected via endoscopic transnasal approach.Postoperative pathology suggested xanthogranuloma.Refer to relevant literature,the clinical manifestations of the disease,imaging features and treatment measures were reviewed.Headache dizziness symptoms disappeared after operation.The visual acuity and visual field defect improved significantly.The endocrine examination had no significant abnormalities.Diabetes insipidus improved after symptomatic treatment.Conclusion The sella xanthogranuloma is a very rare benign space-occupying lesion in the saddle area.It is difficult to diagnose preoperatively.Surgical treatment is the first choice of therapy and recurrence is rare.

相似文献/References:

[1]徐成伟,朱宏伟,高乃康,等.142例鞍区占位病变手术治疗总结[J].临床神经外科杂志,2014,(01):51.
[2]惠卫宁.鞍区海绵状血管瘤误诊为侵袭性垂体瘤一例并文献复习[J].临床神经外科杂志,2014,(02):116.

更新日期/Last Update: 1900-01-01