垂体瘤_____垂体瘤；视力；视野；眼底；图形视诱发电位

78例垂体瘤的眼部表现临床分析

http://www.100md.com 《广东药学院学报》 2003年第3期

垂体瘤,,垂体瘤；视力；视野；眼底；图形视诱发电位,1对象和方法,2结果,3讨论

     摘要目的：探讨垂体瘤的眼部表现。方法：对78例垂体瘤患者进行视力、眼底、荧光素眼底血管造影(fundus fluorescein angiography,FFA)、视野、及图形视诱发电位(pattern visual evoked potential,PVEP)检查。结果：视力下降占76.9%；眼底视神经病变占519%，视野损害占67.3%，PVEP异常占89.2%。23.1%患者以眼部异常表现为首诊症状,其中19.2%曾被诊断为眼科疾病。结论：对不明原因视力下降、视野缺损或视神经病变的患者，应常规进行视力、视野、眼底及PVEP检查，结合鞍区CT或MR，避免漏诊、误诊。

    关键词垂体瘤；视力；视野；眼底；图形视诱发电位

    Clinical analysis of ophalmological manifestations of 78 cases of

    pituitary tumor

    CHEN Xuemei,WEN Feng,LIAO Ruiduan,ZHANG Xuefen，CHEN Ruiying

    (1.Department of Ophthalmology,The First Affiliated Hospital of Sun Yetsen University,Guangzhou，Guangdong 510080； 2.Ophthalmological Center of Sun Yetsen University)

    Abstract Objective:To investigate the ophthalmological manifestations of pituitary tumor. Methods: Visual acuity,fundus,fundus fluorescein angiography (FFA),visual field and pattern visual evoked potential (PVEP) were performed in 78 cases of pituitary tumor (156 eyes). Results: There was 76.9% of patients with decreased visual acuity,51.9% with papillopathy ......

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