中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
12期
1632-1635
,共4页
苏九妹%何正中%高军%谈宗雯%安喜艳
囌九妹%何正中%高軍%談宗雯%安喜豔
소구매%하정중%고군%담종문%안희염
一过性黑矇%眼缺血%颈动脉狭窄%彩色超声多普勒
一過性黑矇%眼缺血%頸動脈狹窄%綵色超聲多普勒
일과성흑몽%안결혈%경동맥협착%채색초성다보륵
Transient amaurosis%Ocular ischemia%Carotid artery stenosis%Color Doppler imaging
目的 探讨一过性黑矇患者的临床表现和颈动脉彩色超声多普勒(CDI)的影像特征.方法 收集2010年4月至2012年12月在天津第三中心医院眼科就诊的一过性黑矇患者67例(98只眼),对患者进行病史询问,眼部视力、裂隙灯显微镜、眼压、眼底等检查,并进行颈部彩色超声多普勒检查,对检查结果进行分析总结.结果 67例(98只眼)一过性黑矇患者,主要伴发症状为眼前闪光12例(17.91％)、眼眶周围疼痛10例(14.93％)等.确定眼部缺血性疾病共16只眼(16.33％),其中包括静脉瘀滞性视网膜病变7只眼(7.14％)、视网膜中央或分支动脉阻塞3只眼(3.06％)、前部缺血性视神经病变1只眼(1.02％)、视盘新生血管1只眼(1.02％)、新生血管性青光眼4只眼(4.08％).颈动脉彩色超声多普勒检查:双侧颈动脉硬化51例次(76.12％),颈动脉斑块26例次(38.81％),颈动脉狭窄24例次(35.82％),颈内动脉闭塞2例次(2.99％).结论 一过性黑矇是最常见的眼部缺血性表现,常由颈动脉狭窄引起,在眼部缺血性疾病出现之前就已出现.颈动脉彩色超声多普勒检查安全有效,对一过性黑矇患者及时做CDI检查并早期治疗颈动脉狭窄是预防眼缺血性疾病的可靠方法.
目的 探討一過性黑矇患者的臨床錶現和頸動脈綵色超聲多普勒(CDI)的影像特徵.方法 收集2010年4月至2012年12月在天津第三中心醫院眼科就診的一過性黑矇患者67例(98隻眼),對患者進行病史詢問,眼部視力、裂隙燈顯微鏡、眼壓、眼底等檢查,併進行頸部綵色超聲多普勒檢查,對檢查結果進行分析總結.結果 67例(98隻眼)一過性黑矇患者,主要伴髮癥狀為眼前閃光12例(17.91％)、眼眶週圍疼痛10例(14.93％)等.確定眼部缺血性疾病共16隻眼(16.33％),其中包括靜脈瘀滯性視網膜病變7隻眼(7.14％)、視網膜中央或分支動脈阻塞3隻眼(3.06％)、前部缺血性視神經病變1隻眼(1.02％)、視盤新生血管1隻眼(1.02％)、新生血管性青光眼4隻眼(4.08％).頸動脈綵色超聲多普勒檢查:雙側頸動脈硬化51例次(76.12％),頸動脈斑塊26例次(38.81％),頸動脈狹窄24例次(35.82％),頸內動脈閉塞2例次(2.99％).結論 一過性黑矇是最常見的眼部缺血性錶現,常由頸動脈狹窄引起,在眼部缺血性疾病齣現之前就已齣現.頸動脈綵色超聲多普勒檢查安全有效,對一過性黑矇患者及時做CDI檢查併早期治療頸動脈狹窄是預防眼缺血性疾病的可靠方法.
목적 탐토일과성흑몽환자적림상표현화경동맥채색초성다보륵(CDI)적영상특정.방법 수집2010년4월지2012년12월재천진제삼중심의원안과취진적일과성흑몽환자67례(98지안),대환자진행병사순문,안부시력、렬극등현미경、안압、안저등검사,병진행경부채색초성다보륵검사,대검사결과진행분석총결.결과 67례(98지안)일과성흑몽환자,주요반발증상위안전섬광12례(17.91％)、안광주위동통10례(14.93％)등.학정안부결혈성질병공16지안(16.33％),기중포괄정맥어체성시망막병변7지안(7.14％)、시망막중앙혹분지동맥조새3지안(3.06％)、전부결혈성시신경병변1지안(1.02％)、시반신생혈관1지안(1.02％)、신생혈관성청광안4지안(4.08％).경동맥채색초성다보륵검사:쌍측경동맥경화51례차(76.12％),경동맥반괴26례차(38.81％),경동맥협착24례차(35.82％),경내동맥폐새2례차(2.99％).결론 일과성흑몽시최상견적안부결혈성표현,상유경동맥협착인기,재안부결혈성질병출현지전취이출현.경동맥채색초성다보륵검사안전유효,대일과성흑몽환자급시주CDI검사병조기치료경동맥협착시예방안결혈성질병적가고방법.
Objective To study the clinical manifestations and results of carotid artery color Doppler imaging (CDI) of patients with transient amaurosis.Methods Consecutive patients 67 cases (98 eyes) of amaurosis fugax were evaluated with medical history,visual acuity,slit lamp,intraocular pressure,and fundus examinations.CDI for carotid artery and central retinal artery were carried out.All the results were analyzed.Results The subjective manifestations of 67 patients with transient amaurosis included flash before the eye in 12 cases (17.91％),periorbital pain in 10 cases (14.93％) et al.The ocular manifestations of 16 patients with ocular ischemic disease included venous stasis retinopathy 7 eyes (7.14％),central or branch retinal artery occlusion in 3 eyes (3.06％),anterior ischemic optic neuropathy in 1 eye (1.02％),optic disc neovascularization in 1 eye (1.02％),neovascular glaucoma in 4 eyes (4.08％).Carotid artery CDI examination:carotid artery sclerosis in 51 cases (76.12％),plaque in 26 cases (38.81％),stenosis in 24 cases (35.82％),occluded in 2 cases (2.99％).Conclusions Transient amaurosis is the common manifestation of ocular ischemic appearance.It appears earlier than ocular ischemic disease.CDI is the best safe and reliable method for carotid artery examination.Carotid artery CDI examination and carotid artery stenosis treatment performed earlier are the effective measures for preventing ocular ischemic disease.
