干旱区生态环境知识资源中心(Arid): 眶尖部及视神经肿瘤的早期诊断

Arid

	眶尖部及视神经肿瘤的早期诊断
其他题名	Early diagnosis of the tumors in orbital apex and optic nerve
	张长河; 张铁锤; 钟建胜; 李寅伟; 张春梅
来源期刊	中华眼科杂志
ISSN	0412-4081
出版年	2004
卷号	40 期号:1 页码:34-36
中文摘要	目的探讨眶尖部及视神经肿瘤在眼球突出前的临床表现、影像学检查特征及临床诊断要点.方法回顾性分析22例无明显眼球突出单侧眼眶肿瘤患者的病历资料,包括主要症状、首发表现、临床诊治过程及影像学检查结果.结果 22例肿瘤患者中,海绵状血管瘤6例,神经鞘瘤、视神经鞘脑膜瘤、鼻窦及鼻咽腔恶性肿瘤眶内蔓延各4例,后组筛窦黏液囊肿2例,神经纤维瘤和视神经胶质瘤各1例.以视力下降为首发症状者17例,视力下降合并复视者3例.全部患者均在CT或MRI检查后确诊.肿瘤位于眶尖部或起源于视神经.结论眶尖部及视神经肿瘤的早期症状是视功能障碍,无眼球突出表现.视力呈缓慢进行性下降,按视神经炎治疗效果差.CT或MRI检查对早期诊断起重要作用.
英文摘要	Objective To obtain clues for early diagnosis of the tumors in orbital apex and optic nerve. Methods Twenty-two oases (22eyes) of orbital tumors without proptosis were collected, and their clinical manifestations, especially main or first symptoms, the course of their diagnosis and treatment as well as the data of ultrasonography-B, CT and MRI were analyzed. Results Among 22 cases of the orbital tumors, there were 6 cases of cavernous hemangioma, 6 cases of the tumors from paransal sinuses or nasopharyngeal cavity, 4 cases of neurilemmotna and optic nerve sheath meningioma, neurofibroma, and 1 case of optic nerve glioma. There were 17 cases with visual impairment as the first presenting symptom and 3 cases with visual impairment associated with diplopia which was misdiagnosed as optic neuritis or optic atrophy. Finally, all cases were diagnosed accurately by CT or MRI. The vast majority of that originated from the orbital apex or optic nerve sheath, and the biggest diameter of the tumors was smaller than 1.5 cm. Conclusions The early symptoms of the tumors in orbital apex and optic nerve tumors were visual impairment without proptosis. It is important that these patients were examined early by CT and MRI.
中文关键词	眶肿瘤 ; 视神经肿瘤 ; 体层摄影术,X线计算机断层扫描 ; 磁共振成像
英文关键词	orbital neoplasms optic nerve neoplasms tomography X-ray computed magnetic resonance imaging
语种	中文
国家	中国
收录类别	CSCD
WOS类目	OPHTHALMOLOGY
WOS研究方向	Ophthalmology
CSCD记录号	CSCD:1512298
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205845
作者单位	河南省南阳市眼科医院, 473014
推荐引用方式 GB/T 7714	张长河,张铁锤,钟建胜,等. 眶尖部及视神经肿瘤的早期诊断[J],2004,40(1):34-36.
APA	张长河,张铁锤,钟建胜,李寅伟,&张春梅.(2004).眶尖部及视神经肿瘤的早期诊断.中华眼科杂志,40(1),34-36.
MLA	张长河,et al."眶尖部及视神经肿瘤的早期诊断".中华眼科杂志 40.1(2004):34-36.