中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
10期
1234-1237
,共4页
黎铧%张利伟%韦春玲%李娟娟
黎鏵%張利偉%韋春玲%李娟娟
려화%장리위%위춘령%리연연
视网膜毛细血管扩张%眼底荧光血管造影%鉴别诊断
視網膜毛細血管擴張%眼底熒光血管造影%鑒彆診斷
시망막모세혈관확장%안저형광혈관조영%감별진단
Subretinal cysticercosis%Fundus fluoresceine angiography%Differential diagnosis
目的 探讨各类导致视网膜毛细血管扩张疾病的临床特征.方法 对2008～2012年在云南红十字会医院眼科经回顾分析特发性黄斑旁毛细血管扩张症、Coat's病、视网膜分支静脉阻塞、糖尿病视网膜病变、视网膜血管炎患者计69例(112只眼)的临床资料、眼底彩照、眼底荧光血管造影等进行总结分析.结果 5例特发性黄斑旁毛细血管扩张症表现为黄斑区灰白色病灶,黄斑毛细血管网扩张,渗漏;6例Coat's病患者表现为大片视网膜渗出,视网膜血管瘤样扩张;18例视网膜分支静脉阻塞患者表现为沿阻塞区域分布的毛细血管扩张,缺血型可见无灌注区;21例糖尿病视网膜病变者表现为广泛散在的视网膜毛细血管扩张、微动脉瘤形成,合并出血渗漏病变;19例视网膜血管炎典型表现除视网膜血管扩张外,血管壁染色、渗漏.结论 特发性、缺氧、炎症、血流动力学改变、放射性损伤等,均可破坏血管内皮细胞或周细胞,从而表现为毛细血管扩张,结合患者资料、全面分析判断视网膜毛细血管扩张的原因及对策.
目的 探討各類導緻視網膜毛細血管擴張疾病的臨床特徵.方法 對2008～2012年在雲南紅十字會醫院眼科經迴顧分析特髮性黃斑徬毛細血管擴張癥、Coat's病、視網膜分支靜脈阻塞、糖尿病視網膜病變、視網膜血管炎患者計69例(112隻眼)的臨床資料、眼底綵照、眼底熒光血管造影等進行總結分析.結果 5例特髮性黃斑徬毛細血管擴張癥錶現為黃斑區灰白色病竈,黃斑毛細血管網擴張,滲漏;6例Coat's病患者錶現為大片視網膜滲齣,視網膜血管瘤樣擴張;18例視網膜分支靜脈阻塞患者錶現為沿阻塞區域分佈的毛細血管擴張,缺血型可見無灌註區;21例糖尿病視網膜病變者錶現為廣汎散在的視網膜毛細血管擴張、微動脈瘤形成,閤併齣血滲漏病變;19例視網膜血管炎典型錶現除視網膜血管擴張外,血管壁染色、滲漏.結論 特髮性、缺氧、炎癥、血流動力學改變、放射性損傷等,均可破壞血管內皮細胞或週細胞,從而錶現為毛細血管擴張,結閤患者資料、全麵分析判斷視網膜毛細血管擴張的原因及對策.
목적 탐토각류도치시망막모세혈관확장질병적림상특정.방법 대2008～2012년재운남홍십자회의원안과경회고분석특발성황반방모세혈관확장증、Coat's병、시망막분지정맥조새、당뇨병시망막병변、시망막혈관염환자계69례(112지안)적림상자료、안저채조、안저형광혈관조영등진행총결분석.결과 5례특발성황반방모세혈관확장증표현위황반구회백색병조,황반모세혈관망확장,삼루;6례Coat's병환자표현위대편시망막삼출,시망막혈관류양확장;18례시망막분지정맥조새환자표현위연조새구역분포적모세혈관확장,결혈형가견무관주구;21례당뇨병시망막병변자표현위엄범산재적시망막모세혈관확장、미동맥류형성,합병출혈삼루병변;19례시망막혈관염전형표현제시망막혈관확장외,혈관벽염색、삼루.결론 특발성、결양、염증、혈류동역학개변、방사성손상등,균가파배혈관내피세포혹주세포,종이표현위모세혈관확장,결합환자자료、전면분석판단시망막모세혈관확장적원인급대책.
Objective To explore the characteristics of fundus photography and fundusfluorescein angiography in patients of retinal telangiectasis.Methods Retrospective analysis of idiopathic macular telangiectasia,Coat's disease,retinal Branch vein occlusion,diabetic retinopathy,retinal vasculitis,the clinical data were summarized.Results Five cases of idiopathic paramacular telangiectasia showed white lesions,macular capillary network expanded and leakage; 6 cases of Coat's disease showed a large retinal exudation,retinal vascular ectasia; 18 cases of patients with branch retinal vein occlusion showed regional telangiectasia along the blocking vein,no-perfusion areas can be seen in the ischemic area; 21 cases of diabetic retinopathy showed widely scattered retinal telangiectasia,micro aneurysm formation,hemorrhage leakage lesions; 19 cases of retinal vasculitis showed dilated retinal veins,the blood vessel walls stained and leakage.Conclusions Idiopathic,hypoxia,inflammation,hemodynamic changes,and radiation damage can damage endothelial cells or pericytes,which manifest as telangiectasia,comprehensive analysis and determine the causes and measurements.
