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鞍区疾病常引起视力减退和视野缺损,往往首先就诊于眼科。本文分析53例首诊眼科的鞍区疾病情况,其视力减退率、视野缺损率、眼底改变率和内分泌功能障碍发生率分另占例数的100%、96.2%、79.2%和41.5%;误诊率为33.9。分析了误诊情况,强调视野检查、头颅X线及CT检查的重要性,认为对眼部情况难以解释的视力减退或视神经萎缩,均应作视野检查和头颅X线检查,必要时作头颅CT检查,以降低鞍区疾病的误诊率。
Saddle-zone disease often causes vision loss and visual field defects, often first visit to ophthalmology. This article analyzes 53 cases of the first diagnosis of sellar disease department ophthalmology, the rate of vision loss, visual field defect rate, fundus rate of change and the incidence of endocrine dysfunction accounted for another accounted for 100% of the number, 96.2%, 79.2% and 41.5%; misdiagnosis rate was 33.9. Analysis of the misdiagnosis, emphasizing the importance of visual field examination, head X-ray and CT examination, that the eye situation is difficult to explain the loss of vision or optic atrophy, should be for visual field examination and head X-ray examination, if necessary, head CT examination , To reduce the misdiagnosis rate of the saddle area disease.