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蝶鞍区肿瘤早期常压迫视交叉、视神经、视束或视交叉腹面中央区血管,影响血供,导致视力减退和视野缺损,故许多蝶鞍区肿瘤患者常首诊于眼科,经查出肿瘤后,转脑外科手术治疗。我科于1992～2000年接诊蝶鞍区肿瘤患者18例。现报告如下。 临床资料:本组18例,男10例,女8例;年龄16～67岁,平均59.6岁。主要临床表现为进行性视力减退,其中视力减退16例,双眼眼前手动2例。视力减退者均有视野改变,其中双颞侧偏盲8例,同向偏盲4例,双颞上象限偏盲2例,不规则视野缺损2例。眼底检查示视盘颜色稍淡10例,苍白色2
Early sellar tumor oppression of the optic nerve cross, the optic nerve, optic tract or optic chiasm in the central area of the blood vessels, affecting the blood supply, leading to vision loss and visual field defects, so many patients with sella region often first diagnosed with ophthalmology in the tumor After brain surgery surgery. In our department from 1992 to 2000 admitted to the sellar tumor in 18 patients. The report is as follows. Clinical data: The group of 18 patients, 10 males and 8 females; aged 16 to 67 years, mean 59.6 years old. The main clinical manifestations of progressive visual loss, including loss of vision in 16 cases, eyes before the manual 2 cases. Vision loss were visual field changes, including double temporal hemianopsia in 8 cases, with hemivencephaly in 4 cases, double-superior temporal quadrant hemianopia in 2 cases, irregular vision defect in 2 cases. Fundus examination revealed a slightly lighter color in 10 cases, pale 2