60例垂体瘤患者术前视野改变

Preoperative visual field changes of 60 cases of pituitary tumour

  • 摘要: 目的:应用动态视野仪检查垂体瘤患者的视野改变。方法:采用美国TRS-4000型声控动态视野仪,对60例垂体瘤患者的120只眼,行60°、72个刺激点视敏度检查,并与其CT、MRT检查做对照分析。结果:60例垂体瘤患者术前视野检查阳性检出率为68.33%,结果正常者占31.6%。而CT、MRI检查阳性检出率为70%,正常者4例,占6.77%,经统计学检验两者结果有一致性,χ2=0.08,P>0.05。虽然视野的阳性检出率低于CT及MRI,但视野阳性的诊断价值是100%,无假阳性。120只眼有49只眼为偏盲,占40.83%,偏盲以中线对劈为特点,偏盲多于缺损、暗点和全盲。结论:垂体瘤患者的视野改变有偏盲、暗点、缺损等,其部位、性质对垂体瘤的早期诊断、手术定位及进路均有重要意义。

     

    Abstract: Objective: To locate the location and range of neoplasms in visual path using dynamic perimeter. Methods: visual acuity with 60. and 72 dots were checked in 60° and 72 dots were checked in 60 cases of pituitary tumour using American TFS-4000 type sound control dynamic perimeter as compared with CT and MRI checking. Results: The positive rate of visual field before operation was 68.33% and the negative rate was 31.6%. The positive rate of CT and MRI was 70% and 4 cases were normal (6.77%). Statistic checking showed coherence between the two results, χ2=0.08,P>0.05 Although the positive rate of visual field was lower than that of CT and MRI, the diagnostic value of positive visual field was 100% and there was no false poitiveness. 49 eyes of the 120 eyes showed hemianopsia (40.83%), it was characteristically divided by the central line. The number of hemianopsia was more than defect, blind dots and full blind. Conclusion: The visual field changes of pituitary tumour showed hemianopsia, blind dots, defect etc.. Their location and nature have important significance in early diagnosis, surgical location and surgical path.

     

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