摘要
本文分析55例鞍区肿瘤引起失明的原因。55例中双眼失明15例(27.3％),单眼失明40例(72.7％)。视乳头水肿9例(16.4％),原发性视神经萎缩46例(83.6％)。失明多由鞍内、鞍上及鞍底肿瘤直接或间接累及视交叉或视神经,临床不易早期诊断,而易误诊为眼部疾患。因此,对原因不明的单眼或双眼视力进行性下降的病人,应定期作神经系统检查,以早期确诊。
The blindeness in 55 patients with sellar turcica area tumor was analysed. Fifteen(27.3%) had binocular blindness and 40(72.7%) had monocular blindness. Papilledema was present in 9 patients (16.4%) and primary optic atrophy was found in 46 cases(83.6%). Blindness in this series was usually resulted from intrasellar, suprasellar and infrasellar tumors, directly or indirectly involved the optic nerve and optic chiasma. These tumors were sometimes misdiagnosed by eye clinicians. Therefore, specific neurological examinations should be made when progressive visual loss cannot be explained by any intraocular cause.
出处
《上海医学》
CAS
CSCD
北大核心
1989年第11期641-643,共3页
Shanghai Medical Journal
