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目的 :探讨脊椎内肿瘤病人可能发生的眼部并发症。方法 :将我院 1 5年来 ( 1 984～ 1 999 6)住院并经过神经外科手术治疗的 1 4 1例诊断为脊椎内肿瘤病人的临床资料作回顾性分析 ,同时参阅国内外有关文献 ,对眼部并发症的发病机制作简略探讨。结果 :1 4 1例脊椎内肿瘤病人中患眼部并发症者 5例 ,发生率为 3 5%。 1 4 1人中瞳孔不等大者 2例 ,其中有一例为不全Horner综合征 ;视乳头水肿者 3例 ,2例肿瘤手术切除后 ,脑脊液蛋白下降 ,视乳头水肿消退。上述两组患者各有一例伴有外展神经麻痹。结论 :本文报道了脊椎内肿瘤所表现的眼部症状 ,并认为眼科医生对无法用眼疾解释的瞳孔不等大、视乳头水肿、外展神经麻痹等 ,应考虑是否患有椎内肿瘤 ,以免漏诊。
Objective: To investigate the ocular complications that may occur in patients with spinal tumors. Methods: A retrospective analysis was made on the clinical data of 114 cases diagnosed as patients with spinal tumors from January 1995 to January 1998 in our hospital who underwent neurosurgery. At the same time, referring to the relevant literature both at home and abroad, A brief discussion on the pathogenesis of ocular complications. Results: There were 5 cases of eye complications in 114 cases of spinal tumors, the incidence was 35%. There were 2 eyes with pupil unequal in 1 41 cases, of which 1 case had incomplete Horner’s syndrome, 3 cases had papilledema, 2 cases had tumor resection, CSF protein decreased and papilledema subsided. One patient in each of the above two groups had abducens nerve palsy. CONCLUSIONS: This article reports on the ocular manifestations of tumors in the spine and suggests that ophthalmologists should consider whether they have intravertebral neoplasia or not, considering the unequal pupil, papilledema, abducens, etc. that can not be explained by eye disease Misdiagnosis.