垂体腺瘤的眼部改变和误诊分析

The pathologial change and mistaken diagnosis of the pituitary adenoma

目的 :探讨首诊于眼科的垂体腺瘤视功能损害及误诊原因 ,以提高对肿瘤的早期认识和促进诊断。方法 :对5 5例经手术病理证实的垂体腺瘤进行临床分析。结果 :视功能损害者 36例 ,视野缺损者 4 0例 ,以视力减退为首发症状就诊于眼科的 32例 ,误诊 14例。结论 :眼科医师在临床诊断过程中对视力、视野异常的患者需要综合分析 。

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 55 patients who have been confirmed suffering from pituitary adenoma through pathologic diagnosis.Results:Through clinical observation to the 55 patients,there are 36 patients whose vision function were damaged and there are 40 patients whose vision field were damaged,32 patients came to see ophthalmologists because they took the reduce of vision acuity as the first symptom,14 patients were misdiagnosed.Conclusion: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.