摘要
目的探讨颈动脉狭窄相关性眼部缺血性疾病的临床特征,比较不同方法对该病的疗效。方法回顾性系列病例研究。收集182名颈动脉狭窄患者的临床资料,包括全身和眼部的诊治详情。对患者的颈动脉狭窄程度、相关危险因素、首诊分布情况、眼缺血性疾病种种类构成情况等进行统计分析,并根据彩色多普勒超声血流成像技术指标评估颈动脉血流变化。结果①颈动脉狭窄的发病与性别(男性)、高血压、高血脂、吸烟等因素相关;②伴有眼部眼缺血性表现的患者中,多数病例首先在神经科诊治,仅有10.26%的病例首诊在眼科;③一过性黑朦是眼部缺血的最常见症状(约47.44%患者曾有此症状);④眼缺血性疾病以缺血性视神经病变、眼缺血综合征、视网膜中央(分支)动脉阻塞、眼外肌麻痹四组疾病发病率较高。结论颈动脉狭窄相关性眼部缺血性疾病的临床表现复杂多样,容易漏诊或误诊。
Objective To explore the clinic features of ocular ischemic diseases caused by carotid artery stenosis,and compare the curative effect of various treatment methods.Methods The clinic data,including the diagnostic and therapeutic materials,of 182 patients with carotid artery stenosis were collected.The degree of carotid artery stenosis,relative risk factors,disposition of first-treatment,variety of ocular ischemic diseases were analyzed statistically,and the changes of carotid artery bloodstream was evaluated by color Doppler flow imaging.Results Gender（male）,hypertension,high lipohemia and smoking had significant relationship with carotid artery stenosis.The patients who had ocular ischemic diseases mostly diagnosed at neurophysicians or neurosurgeons first,only 10.26% cases diagnosed at ophthalmology first.Amaurosis fugax was the most common ocular symptom in patients who had ocular ischemic diseases（47.44%）.The ocular ischemic diseases mainly included ischemic optic neuropathy,central（branch）retinal artery occlusion,ophthalmoplegia externa and ocular ischemia syndrome.Conclusion Clinical manifestations of ocular ischemic syndrome patients are complicated which are depended on the different extents of ischemia.
出处
《中华全科医学》
2010年第7期821-823,F0003,共4页
Chinese Journal of General Practice
关键词
眼缺血
颈动脉狭窄
分析
疗效
Ocular ischemic diseases
Carotid artery stenosis
Analysis
Curative effect
