经鼻蝶垂体瘤切除手术前后视野分析  

Visual field analysis in pituitary adenoma patients before and after transnasal transsphenoidal resection

作　　者：廖华萍[1] 王晶[1] 袁华曦 LIAO Huaping;WANG Jing;YUAN Huaxi(Department of Ophthalmology,Ruijin Hospital,Shanghai Jiaotong University,School of Medicine,Shanghai 200025,China;Department of Neurosurgerg,The Second Affiliated Hospital of Shaoyang University,Shaoyang 422000,China)

机构地区：[1]上海交通大学医学院附属瑞金医院眼科,上海200025 [2]邵阳学院附属第二医院神经外科,湖南邵阳422000

出　　处：《邵阳学院学报（自然科学版）》2024年第1期92-96,共5页Journal of Shaoyang University：Natural Science Edition

摘　　要：目的通过对垂体瘤患者术前及术后3个月视野进行分析,探讨经鼻蝶垂体瘤切除术后患者视野变化的特点以及可能的影响因素。方法收集瑞金医院神经外科行经鼻蝶垂体瘤切除术且有完整随访资料的36例患者,分析术前及术后3个月视野变化。结果入组患者中,视野缺损组与视野正常组垂体瘤的诊断年龄以及肿瘤大小比较差异有统计学意义(P<0.05);经鼻蝶垂体瘤切除术后,8例术前双眼视野正常患者中有1例出现了单眼视野缺损;术前存在不同程度视野缺损的28例患者中,视野缺损改善者18例;视野缺损未明显改善者8例,视野缺损较前严重者2例(单眼)。结论垂体瘤患者出现视野缺损的概率、视野缺损的严重程度与诊断年龄以及肿瘤大小有关;经鼻蝶垂体瘤切除术后大部分患者视野得到改善,视野改善与诊断年龄等相关。Objective To explore the characteristics and influencing factors of visual field changes in patients with pituitary adenoma after transnasal transsphenoidal resection by analyzing their pre and pos-toperative visual field.Methods A total of 36 patients(72 eyes)who underwent transsphenoidal pituitary adenoma resection in Ruijin Hospital from January 2021 to January 2023 with follow-up data were collected,and the changes in visual field before and 3 months after the surgery were analyzed.Result There were statistical differences between the visual field defect group and the normal group in the age of diagnosis,and tumor size.After transsphenoidal pituitary adenoma resection,among the 8 patients with normal binocular vision before surgery,1 case of monocular visual field defect occured.Among the 28 patients with varying degrees of visual field defects before surgery,5 cases became normal in both eyes.and 13 cases improved,8 cases with no significant improvement,and 2 cases(monocular)get worse compared to before.Conclusion The severity of visual field defects is related to the age of diagnosis age and tumor size.After nasal transsphenoidal pituitary adenoma resection,visual fields of most patients are improved,and it’s improvement is related to the age of diagnosis.

关 键 词：垂体瘤 中心静态视野 经鼻蝶垂体瘤切除术 视野缺损 

分 类 号：R774.7[医药卫生—眼科] R651.1[医药卫生—临床医学]