摘要
目的：提高鞍区肿瘤的诊断率，避免漏诊、误诊．方法；回顾性总结53例鞍区肿瘤的眼部临床表现及其相关阳性体征。结果：合并眼部症状34例，以视力下降为首发症状占30％，临床上常以视神经乳头炎、视神经萎缩、屈光不正、视疲劳而误诊。结论：对不明原因视力下降、视力改变的病人，要详细询问病史，详查视野，常规行蝶鞍X线片，必要时行CT检查。
Purpose: Trying to increase the diopostic rate of sellar tumor and to avoid the nmissing diagnosis and erroneous diagnosis. Methods: Summarize the ophthalmology clinic manifestation and its relative positive signs in 53 cases of sellar tumor. Results:There were 34 cases with ocular symptoms. Among them. 30% suffered visual loss first. They were usually treated as papillitis, opticatrophy, ametropia and asthenopia. Conclusions: For the unclear caused visual loss and visual field changs, it is necessary to consult the medical history in detail and to examme fully visual field. Usually, X - ray film of sellar is routinly used. and sometime CT exmaination is followed.
关键词
脑肿瘤
视力
视野
视神经萎缩
Cerebroma Vision Visual field Optic atrophy
