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分析６９例垂体腺瘤卒中病人经手术治疗后视力视野障碍的改善情况。方法：根据病人临床症状和体征，结合鞍区Ｘ线平片、ＣＴ及ＭＲＩ辅助检查，明确诊断。经鼻－蝶或额入路清除血肿并切除肿瘤。结果：本组６９例病人术前伴视力视野障碍者５９例，无明显受损１０例，术后４５例视力视野障碍有不同程度的改善，２例较术前恶化，９例改善不明显，３例死亡。结论：手术时间越早，术后视力视野障碍改善越佳，垂体瘤卒中病人一旦确诊，应尽早手术。
Analyze the improvement of visual field visual disturbance after surgical treatment in 69 patients with pituitary adenoma stroke. Methods: According to the patient’s clinical symptoms and signs, combined with saddle X-ray, CT and MRI examination, a clear diagnosis. The hematoma was removed by nasal-sphenoidal or forehead approach and the tumor was removed. RESULTS: In this group of 69 patients, there were 59 patients with preoperative vision impairment and no visual impairment. There were 10 cases without obvious visual impairment. Postoperative visual acuity and visual disturbances were improved in different degrees. Two cases were worse than those before surgery, and 9 cases were not improved obviously. 3 cases died. Conclusions: The earlier the operation time, the better the improvement of visual field vision after the operation. Once the patient with pituitary apoplexy is diagnosed, it should be treated as soon as possible.