眼内肿瘤的诊断思维  

Diagnostic thinking of intraocular neoplasm

作　　者：魏文斌 周楠 Wei Wenbin;Zhou Nan(Beijing Institute of Ophthalmology,Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Intraocular Tumor Diagnosis and Treatment,Beijing Ophthalmology&Visual Science Key Laboratory of Beijing,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院,北京同仁眼科中心,眼内肿瘤诊治研究北京市重点实验室,北京市眼科学与视觉科学重点实验室,北京100730

出　　处：《中华实验眼科杂志》2018年第10期737-741,共5页Chinese Journal Of Experimental Ophthalmology

基　　金：国家自然科学基金项目（81570891、81272981）；北京市自然科学基金项目（7151003）；北京市医院管理局“登峰”人才培养计划项目（DFL20150201）；北京市医院管理局临床医学发展专项经费（扬帆计划）项目（ZYLX201307）；北京市卫生系统高层次卫生技术人才培养计划项目（2014-2-003）；恶性葡萄膜黑色素瘤综合诊断及治疗策略的研究项目（首发2016-1-2051）；眼内肿瘤诊治研究北京市重点实验室2015年度科技创新基地培育与发展专项项目（Z151100001615052）

摘　　要：眼内肿瘤对患者视力，甚至生命有严重影响，一直以来备受重视。早期正确诊断可以指导治疗，绝大多数患者能够保留眼球并在一定程度上保存有用视功能，甚至挽救患者生命。我们从事眼内肿瘤诊疗研究近二十年，总结出眼内肿瘤诊断的基本思路。目前，发生在眼内的肿瘤主要依靠眼底检查联合多种影像学检查进行诊断。眼科医生在眼内肿瘤的诊断中应根据不同眼内肿瘤的发生机制、组织来源、形态特点和影像学特征建立系统的临床思维方式，从而做到早期诊断和指导正确治疗。本文就眼内肿瘤的诊断思维进行详尽阐述。The intraocular tumor has a serious impact on patient's vision and even life.Early and correct diagnosis can guide the treatment,most patients can retain the eyeball and visual function to some extent,and even save their lives.We have been engaged in the diagnosis and treatment of intraocular tumors for nearly 20 years.We have summarized the important ideas for the diagnosis of intraocular tumors.At present,the diagnosis of intraocular tumors mainly depends on fundus examination combined with various imaging examinations.For the diagnosis of intraocular tumors,ophthalmologists should establish a systematic clinical thinking mode according to the mechanism,tissue source,morphological characteristics and imaging features of different intraocular tumors,so as to achieve early diagnosis and guide correct treatment.The diagnostic thinking of intraocular tumors is described in detail in our article.

关 键 词：眼内肿瘤 影像检查 诊断思维 

分 类 号：R739.7[医药卫生—肿瘤]