摘要
目的:探讨鞍结节脑膜瘤的眼部临床表现。方法:回顾性分析2002年6月～2004年8月我院收治的39例鞍结节脑膜瘤患者的临床资料。结果:39例患者中有眼部表现37例(94.87%)。视力下降37例(94.87%),其中单眼视力下降12例(30.77%),双眼视力下降25例(64.10%),8例单眼失明(20.51%);视野缺损37例(94.87%),表现为单眼或双眼的颞侧偏盲,鼻侧缺损,周边或中心限局暗点,管状视野等;有眼底改变的19例(48.72%),表现为单侧或双侧的视盘边界不清、色淡、水肿或萎缩;外斜视4例(10.26%)。结论:鞍结节脑膜瘤大多以眼部表现为首发症状,早期发现、早期治疗则预后良好。
Objective：To investigate the ocular manifestations of tuberculum sellae meningioma.Methods：The medical records of 39 cases with tuberculum sellae meningioma treated at Beijing Tiantan Hospital from June,2002 to August,2004 were reviewed retrospectively.Results：Of 39 cases,37 cases had ocular manifestations（94.87%）;decline of visual acuity 37（94.87%）,unilateral decline of visual acuity 12（30.77%）,bilateral decline of visual acuity 25（64.10%）,blind in one eye 8（20.51%）;defects of visual field 37（94.87%）,manifestations were unilateral or bilateral temporal hemianopia,defect of nasal side,peripheral or central local blind spot,telescopia vision etc;changes of ocular fundus 19（48.72%）,manifestations were unclear fringe,colour weakened,edema or atrophy of optic papilla;exotropia 4（10.26%）.Conclusion：Most tuberculum sellae meningiomas are found firstly through ocular manifestations.The prognosis will be fine if the tumour be found and treated early.
出处
《临床肿瘤学杂志》
CAS
2008年第5期443-445,共3页
Chinese Clinical Oncology
关键词
鞍结节
脑膜瘤
眼部表现
Tuberculum sellae
Meningioma
Ocular manifestation
