中华实验眼科杂志
中華實驗眼科雜誌
중화실험안과잡지
CHINESE JOURNAL OF EXPERIMENTAL OPHTHALMOLOGY
2011年
3期
258-260
,共3页
宋宏鲁%杜军辉%王雨生%胡丹
宋宏魯%杜軍輝%王雨生%鬍丹
송굉로%두군휘%왕우생%호단
眼球突出%颅脑肿瘤%眼眶病%眼眶肿瘤
眼毬突齣%顱腦腫瘤%眼眶病%眼眶腫瘤
안구돌출%로뇌종류%안광병%안광종류
Exophthalmos%Brain tumor%Orbital disease%Orbital tumor
背景 眼球突出可由颅脑相关疾病引起,处置不当可引起严重后果,对患者症状和体征的综合分析有助于诊断.目的 分析颅脑相关疾病引起眼球突出的病因及其临床表现.方法 回顾性分析颅脑相关疾病引起眼球突出的住院患者38例的临床资料,其中男21例(55.26%),女17例(44.74%);年龄16-71岁,平均37.21岁;右眼14例(36.84%),左眼21例(55.26%),双眼3例(7.89%).结果 38例患者按病因可分为4类:良性肿瘤25例(65.79%),恶性肿瘤2例(5.26%),颈动脉海绵窦瘘10例(26.32%),脑膜脑膨出1例(2.63%).眼球突出度18～35 mm,平均22.17 mm.脑膜瘤患者可伴有长期头疼(65.22%)、恶心或呕吐(21.74%)、视力下降(17.39%)、眼压升高、视野缺损等表现.颈动脉海绵窦瘘患者均有不同程度的视力下降、搏动性突眼,听诊器可在耳际、眼眶上部听诊到心脏收缩期血流轰隆声;均伴有不同程度的眼球运动受限,其中8例(80%)患者眼睑水肿,球结膜充血,严重者结膜突出于睑裂外;8例(80%)患者伴有视物模糊、复视;6例(60%)患者伴有头疼.结论颅脑相关疾病患者可伴有眼球突出等眼部异常表现,分析其病史及临床表现可以为颅脑相关疾病的诊断提供有益的线索.
揹景 眼毬突齣可由顱腦相關疾病引起,處置不噹可引起嚴重後果,對患者癥狀和體徵的綜閤分析有助于診斷.目的 分析顱腦相關疾病引起眼毬突齣的病因及其臨床錶現.方法 迴顧性分析顱腦相關疾病引起眼毬突齣的住院患者38例的臨床資料,其中男21例(55.26%),女17例(44.74%);年齡16-71歲,平均37.21歲;右眼14例(36.84%),左眼21例(55.26%),雙眼3例(7.89%).結果 38例患者按病因可分為4類:良性腫瘤25例(65.79%),噁性腫瘤2例(5.26%),頸動脈海綿竇瘺10例(26.32%),腦膜腦膨齣1例(2.63%).眼毬突齣度18～35 mm,平均22.17 mm.腦膜瘤患者可伴有長期頭疼(65.22%)、噁心或嘔吐(21.74%)、視力下降(17.39%)、眼壓升高、視野缺損等錶現.頸動脈海綿竇瘺患者均有不同程度的視力下降、搏動性突眼,聽診器可在耳際、眼眶上部聽診到心髒收縮期血流轟隆聲;均伴有不同程度的眼毬運動受限,其中8例(80%)患者眼瞼水腫,毬結膜充血,嚴重者結膜突齣于瞼裂外;8例(80%)患者伴有視物模糊、複視;6例(60%)患者伴有頭疼.結論顱腦相關疾病患者可伴有眼毬突齣等眼部異常錶現,分析其病史及臨床錶現可以為顱腦相關疾病的診斷提供有益的線索.
배경 안구돌출가유로뇌상관질병인기,처치불당가인기엄중후과,대환자증상화체정적종합분석유조우진단.목적 분석로뇌상관질병인기안구돌출적병인급기림상표현.방법 회고성분석로뇌상관질병인기안구돌출적주원환자38례적림상자료,기중남21례(55.26%),녀17례(44.74%);년령16-71세,평균37.21세;우안14례(36.84%),좌안21례(55.26%),쌍안3례(7.89%).결과 38례환자안병인가분위4류:량성종류25례(65.79%),악성종류2례(5.26%),경동맥해면두루10례(26.32%),뇌막뇌팽출1례(2.63%).안구돌출도18～35 mm,평균22.17 mm.뇌막류환자가반유장기두동(65.22%)、악심혹구토(21.74%)、시력하강(17.39%)、안압승고、시야결손등표현.경동맥해면두루환자균유불동정도적시력하강、박동성돌안,은진기가재이제、안광상부은진도심장수축기혈류굉륭성;균반유불동정도적안구운동수한,기중8례(80%)환자안검수종,구결막충혈,엄중자결막돌출우검렬외;8례(80%)환자반유시물모호、복시;6례(60%)환자반유두동.결론로뇌상관질병환자가반유안구돌출등안부이상표현,분석기병사급림상표현가이위로뇌상관질병적진단제공유익적선색.
Background Exophthalmos caused by brain-related diseases will result in the serious outcome if treated improperly.It will be helpful for the diagnosis of the disease correctly when signs and symptoms are taken into consideration.Objective This study was to analyze the cause and clinical manifestations of exophthalmos due to brain-related diseases.Methods The elinical data from 38 patients with exophthalmos caused by brain-related diseases was collected and analyzed retrospectively.The sex,age,cause,exophthalmos range,symptom and sign of patients were considered. Results The gender of 38 patients was 21 males(55.26％)and 17 females(44.74％),aged from 16 to 71 years old with the average age 37.21.Four types of brain-related diseases were associated with the exophthalmos of eyeballs,including benign tumor 65.79％(25/38)containing the meningioma 60.53％(23/38),chordoma 5.26％(2/38)；malignant tumor 5.26％(2/38)containing the malignant meningioma 2.63％(1/38),choroid tong one cases of papillary carcinoma 2.63％(1/38)；carotid-cavernous fistula 26.32％(10/38)；meningoencephalocele 2.63％(1/38).Exophthaimos ranged from 18 to 35 mm in the patients with the average value of 22.17 mm.In all of the 38 patients,the right eyes were 36.84％(14/38),and left eyes were 55.26％(14/38)and bilateral eyes 7.89％(3/38).Accompanying signs and symptoms of meningioma included long-term headache (65.22％),nausea and vomiting(21.74％).declined vision(17.39％),elevated intraocular pressure,visual field shrink and loss,etc..Accompanying signs and symptoms of carotid cavernous fistula were loss of vision,pulsatile exophthalmos,noise over the orbit,ocular limitation of movement,eyelid edema(80％),bulbar conjunctival congestion,episodes of eyelid,diplopia(80％),headache(60％). Conclusion Some brain diseases are often accompanied by exophthalmos.Exophthaimos can provide useful clues to the diagnosis of brain diseases.
