摘要
目的研究葡萄膜黑色素瘤误诊的原因。方法对临床诊断的１８例葡萄膜黑色素瘤进行临床及组织病理学误诊分析。结果临床误诊的主要原因是部分病例屈光间质混浊，致眼底无法检查；眼科医师临床经验不足和对病史的忽略。脉络膜上腔积血，视网膜下和色素上皮下出血、机化及瘢痕组织的形成是造成部分病例误诊的组织学基础。结论对有条件的病例采取术前眼底荧光血管造影和肿瘤局部切除术非常必要。
ObjectiveThecausesoferroneousclinicaldiagnosisofuvealmelanomaswerestud┐ied.Methods18caseswithuvealmelanomadiagnosedclinicalywereanalyzedbyclinicalandhistopathol-ogicalmethods.ResultsThemaincausesofthemisdiagnosisweretheopaguemediatopreventfromaclearviewofthefundusinsomecases,andtheclinicians′insuficientexperienceandig-noranceofthecasehistory.Thehistologicalbasesofthemisdiagnosisweresuprachoroidalhemor-rhage,subretinalhemorrhageandhemorhagebeneathretinalpigmentepithelium,organizationandformationofscartissues.ConclusionItisnecessarytotakethefluoresceinangiographypreopera-tivelyandperformlocalresectionoftumoronsuitablecases.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
1996年第3期216-218,共3页
Chinese Journal of Ophthalmology
