垂体瘤卒中的MRI表现和临床对照研究_张华楸.pdf

33 6 749 () Vol.33　No .6 　P.749 2004 12 　　　　J Huazhong Univ Sci Tech [Heal h Sci] 　　　　 Dec.　2004 MRI 张华楸　　舒　凯　　董芳永　　汤　浩　　李　龄　　雷　霆 , 　430030 　　　　MRI , MRI 、 。 　31 MRI , 、 。 　① 。② MRI T WI , T WI ;T WI , 1 2 1 T WI 。 、 、 。③ 2 MRI , , 。④ 58%, 42%。 PRL 52%, 48%。　MRI 。 , PRL 。 　;　;　 　R730.44 Clinically Controlled Study on MRI Appearances of Pituitary Apoplexy Zhang Huaqiu, Shu Kai, Dong Fangyong et al Department of Neurosurgery , Tongji Hospital, Tongji Medical Collage, Huazhong University of Science and Technology, Wuhan 4 00 0 Abstract 　Objective　To s udy he MRI fea ures of pi ui ary apoplexy (PA)and discuss he significance of MRI in he diagnosis and rea men of PA .Methods　A con rolled s udy on he MRI in combina ion wi h clinical manifes a ions, opera ions and pa hological findings in 31 pa ien s wi h PA was performed.Results　All he cases were suffered from macroadenomas or gian pi ui ary adenomas.The haemorrhage in PA pa ien s showed high signal on T WI and high signal 1 or iso-o hyper-signal on T WI;The necro ic cys in PA pa ien s displayed low signal on T WI and high signal or iso-o 2 1 hyper-signal on T WI.PA could be classified as 4 ypes according o he posi ion of apoplexy :cen er ype, peripheral 2 ype, abnormal ype and comple e adenoma ype .There were also some special fea ures such as bull s-eye sign and lay- ered sign.58 %cases were invasive adenomas.The PRL adenoma was accoun ed for 52 %.ConclusionMRI is valu- able for he diagnosis or herapy of he PA .The invasive adenomas and PRL adenomas were more likely prone o