CAJ | 학술논문

目的：：探讨颈内动脉狭窄与缺血性眼部疾病的关系。方法：收集2010-11/2014-05入住我院的30例37眼缺血性眼部疾病患者的临床资料,对其行眼底荧光素血管造影(FFA)、眼部血管经颅多普勒超声(TCD)、颈部血管彩色超声多普勒血流成像( CDFI)、颈部CT血管造影( CTA)及颈动脉数字减影血管造影( DSA)等检查,然后对缺血性眼部疾病患者眼部症状、眼部表现、FFA检查结果进行分析；比较眼动脉收缩期峰值血流速度( peak systolic velocity, PSV)和阻力指数( resistance index,RI)、视网膜中央动脉PSV及RI；患侧颈动脉内中膜厚度( IMT )与眼动脉、视网膜中央动脉PSV及RI的相关性；患侧颈内动脉斑块性质与眼动脉PSV及RI的相关性；患侧颈内动脉斑块性质与视网膜中央动脉的PSV及RI相关性。结果：眼部症状：一过性黑矇、视力降低、眼前闪光、眼部及周围疼痛发生率分别为75.7%,83.8%,51.4%及32.4%；眼部体征：以视网膜静脉扩张、视网膜点片状出血、动脉狭窄及棉絮斑等为主要体征；患侧与健侧眼动脉PSV及RI值差异均具有统计学意义(P<0.05)；患侧与健侧视网膜中央动脉PSV及RI值差异均具有统计学意义( P<0.05)；患侧IMT与眼动脉、视网膜中央动脉PSV及RI值无相关性( P>0.05)；患侧颈内动脉斑块性质与眼动脉PSV及RI值无相关性(P>0.05)；患侧颈内动脉斑块性质与视网膜中央动脉的PSV及RI值无相关性( P>0.05)。结论：缺血性眼部疾病的发病与颈内动脉狭窄具有非常紧密的关联性,临床上可将颈内动脉狭窄程度作为眼部疾病诊疗的重要依据。
목적：：탐토경내동맥협착여결혈성안부질병적관계。방법：수집2010-11/2014-05입주아원적30례37안결혈성안부질병환자적림상자료,대기행안저형광소혈관조영(FFA)、안부혈관경로다보륵초성(TCD)、경부혈관채색초성다보륵혈류성상( CDFI)、경부CT혈관조영( CTA)급경동맥수자감영혈관조영( DSA)등검사,연후대결혈성안부질병환자안부증상、안부표현、FFA검사결과진행분석；비교안동맥수축기봉치혈류속도( peak systolic velocity, PSV)화조력지수( resistance index,RI)、시망막중앙동맥PSV급RI；환측경동맥내중막후도( IMT )여안동맥、시망막중앙동맥PSV급RI적상관성；환측경내동맥반괴성질여안동맥PSV급RI적상관성；환측경내동맥반괴성질여시망막중앙동맥적PSV급RI상관성。결과：안부증상：일과성흑몽、시력강저、안전섬광、안부급주위동통발생솔분별위75.7%,83.8%,51.4%급32.4%；안부체정：이시망막정맥확장、시망막점편상출혈、동맥협착급면서반등위주요체정；환측여건측안동맥PSV급RI치차이균구유통계학의의(P<0.05)；환측여건측시망막중앙동맥PSV급RI치차이균구유통계학의의( P<0.05)；환측IMT여안동맥、시망막중앙동맥PSV급RI치무상관성( P>0.05)；환측경내동맥반괴성질여안동맥PSV급RI치무상관성(P>0.05)；환측경내동맥반괴성질여시망막중앙동맥적PSV급RI치무상관성( P>0.05)。결론：결혈성안부질병적발병여경내동맥협착구유비상긴밀적관련성,림상상가장경내동맥협착정도작위안부질병진료적중요의거。
Abstract?AlM: To investigate the relationship between carotid artery stenosis and ischemic ocular diseases.?METHODS: The clinical data of 30 cases ( 37 eyes ) of patients with ischemic eye diseases were collected from November 2010 to May 2014, and they were accepted the fundus fluorescein angiography ( FFA ) , transcranial Doppler ( TCD) ultrasonic blood vessels of the eye, neck vascular color Doppler flow imaging ( CDFl) , the neck CT angiography ( CTA ) and carotid artery digital subtraction angiography ( DSA) examination, and then the ischemic eye disease patients with ocular symptoms were analyzed. The peak systolic velocity ( PSV) and resistance index ( Rl) of ophthalmic artery and central retinal artery were compared. Correlation between the internal carotid artery intima- media thickness ( lMT ) and ophthalmic artery, central retinal artery PSV and Rl correlation risk;ipsilateral internal carotid artery plaque and ophthalmic artery PSV and Rl; PSV and Rl associated ipsilateral internal carotid artery plaque and central retinal artery were analyzed.?RESULTS:Eye symptoms:a black dim, reduced vision, the eyes flash, and around the eye pain were 75. 7%, 83. 8%, 51. 4% and 32. 4%;The eye signs:the dilatation of retinal vein, retinal hemorrhage, arterial stenosis and cotton spot and the contralateral side were regarded as main signs. Ophthalmic artery PSV and Rl value of the differences were statistically significant ( P<0. 05 ); The contralateral side of the central retinal artery PSV and Rl value of the differences were statistically significant ( P<0. 05 ); The ipsilateral internal carotid artery lMT and ophthalmic artery, central retinal artery PSV and Rl were not correlated ( P>0. 05 ); The ipsilateral internal carotid artery plaque and ophthalmic artery PSV had no correlation with Rl values (P>0. 05); PSV and Rl and the ipsilateral internal carotid artery plaque and central retinal artery had no correlation (P>0. 05).?CONCLUSlON: The incidence of ischemic eye diseases and internal carotid artery stenosis is associated with very close, the clinical can regard the degree of internal carotid artery stenosis as an important basis for diagnosis and treatment of eye diseases.