垂体腺瘤37例眼部改变及误诊分析

The pathologial change and an erroneous diagnosis in the eyes of 37 cases with pituitary adenomas

目的:探讨就诊于眼科的垂体腺瘤患者视功能损害和误诊原因,以期加深对垂体腺瘤的认识,促进早期诊断,尽量避免或减少误诊。方法:对37例手术后病理证实的垂体腺瘤进行临床分析。结果:视功能损害35例,视野缺损34例,以视力减退为首发症状就诊于眼科15例,误诊5例。结论:眼科医师在临床诊断中对视力、视野异常的患者需要综合分析,以避免或减少垂体腺瘤的误诊。

Objective ：To improve the level of early diagnoses of the pituitary adenoma, through studying vision function damage and the reason why misdiagnoses taken place to the patients suffered from pituitary adenoma. Methods： Clinical analysis was done on 37 patients who have been confirmed suffering from pituitary adenoma through pathologic diagnosis. Results：Through clinical observation to the 37 patients, there are 35 patients whose vision function were damaged and there are 34 patients whose vision field were damaged, 15 patients came to see ophthalmologists because they took the reduce of vision acuity as the first symptom,5 patients were misdiagnosed. Conclnsions：During clinical diagnoses, the ophthalmologists should do synthetical analysis to the patients who have abnormal vision acuity and vision field,in order to avoid or reduce the misdiagnoses to the pituitary adenoma.