孟令平,刘安,陆肖祥,张伟,邓环珍.空蝶鞍综合征的MRI表现(附34例分析)[J].中国医学影像技术,1998,14(1):40~42
空蝶鞍综合征的MRI表现(附34例分析)
MR Manifestations of Empty Sella Syndrome (Report of 34 Cases)
投稿时间:1997-02-10  
DOI:
中文关键词:  空泡蝶鞍  分型  垂体  磁共振成像
英文关键词:Empty sella furcica  Classification  Pituitary  Magnetic resonance imaging
基金项目:
作者单位
孟令平 Department of MRI,Dongfeng Mobile Corporation Central Hospital Shiyan 442008 
刘安 Department of MRI,Dongfeng Mobile Corporation Central Hospital Shiyan 442008 
陆肖祥 Department of MRI,Dongfeng Mobile Corporation Central Hospital Shiyan 442008 
张伟 Department of MRI,Dongfeng Mobile Corporation Central Hospital Shiyan 442008 
邓环珍 Department of MRI,Dongfeng Mobile Corporation Central Hospital Shiyan 442008 
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中文摘要:
      目的:分析空蝶鞍综合征(ESS)MR表现及临床意义。材料和方法:经MRI诊断为ESS者34例, 根据垂体压缩程度分Ⅰ、Ⅱ两型。比较两型的MR所见和临床表现。结果:Ⅰ型ESS显示垂体柄后移7例, 占35%(7/20), 视交叉上抬3例, 占15%(3/20);Ⅱ型ESS显示垂体柄后移11例, 占78%(11/14), 视交叉上抬8例, 占57%(8/14), 二者有明显统计学差异(P<0.01).Ⅱ型ESS的垂体后叶信号变为等信号的发生率比Ⅰ型高。但比较Ⅰ型与Ⅱ型的主要临床表现无有意义差别。结论:ESS的MR表现及分型对临床认识和处理本病有一定参考价值。
英文摘要:
      Purpose:To analyse the MR manifestations and clinical significance of Empty Sella Syndrome(ESS).Materials and Methods:Thirty four cases of ESS were diagnosed by a MR system.It can be divided into the Ⅰ and the Ⅱtypes,according to the degree of compression of the pituitary.The Ⅰ type of ESS was compared with the Ⅱtypes on the MR findings and clinical manifestations.Results:ESS appeared as hypophyseal stalk retroposition in 7 cases (7/20) and optic chiasm elevation in 3 cases (3/20),which were graded as the Ⅰ type;hypophyseal stalk retroposition in 11 cases(11/14),optic chiasm elevation in 8 cases(8/14),they were graded as the Ⅱ type,both ESS were significantly different(P<0.01).Isointence signal of neurohypophysis were significantly higher in the Ⅱ type than the Ⅰ type.However,both types of ESS were not significantly different in main clinical findings.Conclusion:MR manifestations and classfication of ESS have diffinitive referential value from the point of view of clinical recognization and management.
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