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目的总结首诊于眼科的蝶鞍区病变患者临床与磁共振成像(MRI)表现。方法回顾性分析因视力障碍或视野缺损首诊于眼科的蝶鞍区病变53例患者的临床与MRI资料。结果 53例患者均伴视神经病变、视乳头水肿。MRI诊断空蝶鞍综合征41例(77.4%),鞍区垂体瘤9例(17.0%),鼻咽癌侵及海绵窦2例(3.8%),海绵窦炎1例(1.9%)。结论部分以视神经病变、视乳头水肿就诊的患者,应进一步行颅脑MRI检查,以发现可能存在于鞍区的颅脑病变。
OBJECTIVE: To summarize the clinical and magnetic resonance imaging (MRI) findings of patients with first-ever sellar lesions in the ophthalmology department. Methods The clinical data and MRI data of 53 patients with first-diagnosed sellar lesions in the ophthalmology department were retrospectively analyzed. Results 53 patients with optic neuropathy, papilledema. MRI diagnosed 41 cases (77.4%) of empty sella syndrome, 9 cases of sella pituitary tumor (17.0%), 2 cases of nasopharyngeal carcinoma invasion and cavernous sinus (3.8%) and 1 case of cavernous sinusitis (1.9%). Conclusions In patients with optic neuropathy and optic papillary edema, brain MRI should be further performed to find craniocerebral lesions that may exist in the sellar region.