垂体腺瘤对视功能损害的临床观察  

The Clinical Study of the Damage of Visual Function Caused by Pituitary Tumor

作　　者：戚朝秀[1] 李奇根[1] 王德娟[1] 董丽洁[1] 杨捷铮[1] 李群英[1] 陈明振[1] 

机构地区：[1]中山大学附属第三医院,广州510630

出　　处：《眼科学报》2008年第1期62-64,70,共4页Eye Science

摘　　要：目的:探讨垂体腺瘤对眼视功能损害的临床表现。方法:对126例(252只眼)垂体腺瘤患者进行视力、视野、荧光眼底血管造影(Fundusfluoresceinangiography,FFA)、图形视诱发电位(Patternvisualevokedpotential,PVEP)及眼底检查。结果:视力下降186只眼,占73.8%。眼底原发性视神经萎缩130只眼,占51.6%。视野缺损156只眼,占69.6%。PVEP异常160只眼,占88.9%。26.2%的患者以眼部异常为首诊症状,其中16.7%曾被诊断为眼科疾病。结论:垂体腺瘤可引起视功能的损害,充分认识垂体腺瘤在眼部的临床特点,有助于早期诊断及时治疗。Purpose ： To investigate the clinical manifestation of damage of visual function caused by pituitary adenoma. Methods ： Visual acuity, visual field, fundus fluorescein angiography （FFA）, pattern visual evoked potential （PVEP） and examination fundus were performed in 126 cases （252 eyes） of pituitary tumor. Results： There was 73.8% （186 eyes） of patients with decreased visual acuity, 51.6% （130 eyes） with primary optic atrophy, 69.6 %（ 156 eyes） with the defects of visual field and 88.9% （160 eyes） with abnormal PVEP. Abnormal ophalmological manifestation was the first diagnostic symptom in 26.2%, and 16.7% was misdiagnosed as eye diseases. Conclusions ： Pituitary tumor could cause defection of visual function. It is helpful to early diagnosis and timely treatment by fully understanding clinical features in the eye with pituitary tumor. Eye Science 2008; 24： 62-64.

关 键 词：垂体腺瘤 视力 视野 视神经萎缩 图形视诱发电位 

分 类 号：R736.4[医药卫生—肿瘤]