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对我科１９７２～１９９２年临床资料完整并有眼底摄象记录的２６例视盘黑色素细胞瘤病例进行分析。其中男性１５例，占５７．７％；女性１１例，占４２．３／。初诊年龄３～５９岁，平均３６岁。均为单眼发病。病灶大小为１／４～１．５视盘直径。２例发现玻璃体内色素播散，其中１例还出现色素沿Ｃｌｏｑｕｅｔ管突入玻璃体腔。２２例眼底荧光血管造影，仅有４例（１８．１％）出现视盘强荧光。１３例随访３年以上，最长达１９年。其中３例（２３．１％）在５年后出现肿瘤轻度增大。４例（３０．７％）有视力下降的病例中，２例可能为肿瘤增大所致。视盘黑色素细胞瘤为一种良性肿瘤，无需特殊治疗。定期眼底摄像及随访检查，有助于监测肿瘤的增长速度。
A total of 26 cases of optic disc melanocytoma were analyzed in our department from 1972 to 1992 with complete clinical data and fundus imaging records. Among them, 15 were male, accounting for 57.7%; 11 were female, accounting for 42.3%. The initial diagnosis of age 3 to 59 years old, average 36 years old. Monocular disease. Lesion size 1/4 ~ 1.5 optic disc diameter. Two cases of vitreous pigment were found to be disseminated, of which 1 case also appeared along the Cloquet tube into the vitreous cavity. 22 cases of fundus fluorescein angiography, only 4 cases (18.1%) showed strong optic disc fluorescence. 13 cases were followed up for more than 3 years, up to 19 years. Three of these tumors (23.1%) showed a slight increase of tumor after 5 years. Of the 4 cases (30.7%) with decreased visual acuity, 2 cases may be due to the increase of tumor. Disc melanocytoma is a benign tumor that requires no special treatment. Regular fundus imaging and follow-up examination will help monitor the growth rate of the tumor.