蝶鞍区肿瘤因仅表现为视力下降或视野缺损,眼肌和眼睑功能障碍,在临床上常致诊断困难。现将1988年1月—1992年3月我院神经外科42例鞍区肿瘤住院患者误诊原因分析报告如下。本组42例住院患者中,行鞍区肿瘤摘除病理证实为垂体腺瘤25例,男15例,女10例,年龄18—82岁。颅咽管瘤8例,男4例,女4例,年龄12—54岁,其中25岁以下5例。鞍结节脑膜瘤4例,男3例,女1例,年龄32—64岁,蛛网膜囊肿2例,男1例32岁,女1例43岁;未手术3例。因视力下降就诊者31例,其中单纯视力下降21例,伴视野缺损 Sella area tumors due to the performance of visual acuity or visual field defect, eye muscle and eyelid dysfunction, often caused by clinical diagnosis difficult. Now in January 1988 - March 1992 Department of Neurosurgery in 42 cases of sellar tumors inpatients misdiagnosis analysis report as follows. The group of 42 cases of inpatients, the line of saddle area tumor removal confirmed pituitary adenomas in 25 cases, 15 males and 10 females, aged 18-82 years. Craniopharyngioma in 8 cases, 4 males and 4 females, aged 12-54 years of age, of which 25 years of age in 5 cases. Saddle nodular meningioma in 4 cases, 3 males and 1 females, aged 32-64 years, 2 cases of arachnoid cysts, male 1 case 32 years old, female 1 case 43 years old; 3 cases without surgery. Due to decreased visual acuity in 31 cases, including simple vision loss in 21 cases, with visual field defects