视神经肿瘤36例临床分析

分析视神经源性肿瘤患者的病史、临床表现、影像学检查和治疗方法，为其诊断和治疗提供帮助。 方法：对视神经胶质瘤和视神经鞘脑膜瘤患者的临床资料进行分析。 结果：视神经胶质瘤的15例患者中以发现眼球突出为主诉的病例为6例，以发现视力下降为主诉的5例，眼球突出合并视力下降的2例；视神经鞘脑膜瘤组21例患者中以眼球突出为主诉的病例为13例，视力下降5例，眼球突出合并视力下降的3例。超声检查、CT、MRI检查均有典型表现；30例患者经手术治疗，6例经伽玛刀治疗。 结论:视神经源性肿瘤在眼部检查及影像学表现上有一定的特征性，对于辅助诊断具有重要价值；治疗方案应视患者的具体情况综合制定，目前以手术及放射治疗为主。

Clinical analysis of optic nerve tumor in 36 cases

AIM:To analyse the history,clinical manifestation,imaging study,and treatment of optic nerve tumor for the diagnosis and treatment.METHODS:The clinical data for 36 cases with optic nerve glioma and optic nerve sheath meningioma treated during 2000 to 2009 were analyzed retrospectively.RESULTS:6 cases in all 15 cases of optic nerve gliomas found exophthalmos and 5 cases found vision loss for the chief complaint,and exophthalmos complicated with vision loss was in 2 cases.In optic nerve sheath meningioma group,13 cases had the chief complaint of exophthalmos,and vision loss was in 5 cases,exophthalmos complicated with vision loss was in 3 cases.Ultrasound,CT and MRI all had typical performance.30 cases were treated with surgery,6 cases with Gamma knife.CONCLUSION:The examination and imaging performance of optic nerve tumour have certain characteristic performance,which has important value for auxiliary diagnosis.Therapeutic schedule should be synthetically formulated with patient’s specific conditions,it is mainly surgery and radiation therapy at present.