论文部分内容阅读
本文用TBC—1中心视野分析仪检出6例垂体瘤,现报告其中2例如下。病例1:高××女44岁双眼视物模糊,视力逐渐下降,伴头枕部疼4个月。一年前开始发胖。内科神经系统检查未见异常。视力右0.4,左0.1,近视力右0.3,左0.1,双眼前节无异常。双眼视盘边界清,颞侧色淡,黄斑中心凹反光存在。血管走行正常。视野双颞侧偏盲,左眼颞侧五级暗点中部超过中线累及注视区。这与左眼视力为0.1不能矫正相符。头颅X 光平片显示:蝶鞍较正常扩大,前后径20mm,深径10mm,鞍背骨质似有吸收。根据视力、视野分析,诊断为垂体瘤。转北京宣武医院,手术证实为垂体瘤。病理诊断为嫌色性垂体腺瘤,最后诊断:垂体瘤卒中。术后放射治疗两个月。病例2:赵××女40岁鞍区占位性病变。因头疼,视力下降两个月来院检查。视力右1.0,左0.5。眼前节及眼底检查均未见异常。TBC 中心视野分析仪查出双眼不完全性颞侧偏盲,提示视交叉病变。经X 线颅平片及鞍区断层片检查均未证实。建议转外地查头颅CT,查出鞍区内囊性占位病变,
In this paper, TBC-1 central field analyzer detected 6 cases of pituitary tumors, 2 cases are reported as follows. Case 1: High × × female 44-year-old binocular vision blurred, visual acuity decreased, accompanied by headache for 4 months. A year ago began to gain weight. Internal neurological examination showed no abnormalities. Right eye 0.4, left 0.1, near right 0.3, left 0.1, anterior anterior segment without exception. Binocular optic disc boundary clear, temporal pale, macular foveal reflection exists. Vascular normal. Visual bilateral temporal hemianopsia, temporal left five temporal dark spots beyond the central line involving the attention area. This is consistent with left eye vision 0.1 can not be corrected. Skull X-ray showed: sella more than normal, anteroposterior diameter 20mm, deep diameter 10mm, saddle back bone seems to be absorbed. According to visual acuity, visual field analysis, diagnosis of pituitary tumor. Turn Beijing Xuanwu Hospital, surgery confirmed pituitary tumor. Pathological diagnosis of suspected chromophobe adenomas, the final diagnosis: pituitary tumor stroke. Postoperative radiotherapy for two months. Case 2: Zhao × × female 40-year-old saddle-space occupying lesions. Due to a headache, vision loss two months to hospital inspection. Right vision 1.0, left 0.5. Anterior segment and fundus examination showed no abnormalities. TBC central visual field analyzer to detect bilateral temporal hemianopsia incomplete, suggesting that the optic chiasm lesions. The X-ray plain film and the saddle area were not confirmed. It is recommended to go to the field to check the cranial CT, found in the sellar cystic lesions,