中华眼底病杂志
中華眼底病雜誌
중화안저병잡지
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
2015年
2期
150-152
,共3页
葡萄膜炎/病因学%葡萄膜炎/分类%疾病特征
葡萄膜炎/病因學%葡萄膜炎/分類%疾病特徵
포도막염/병인학%포도막염/분류%질병특정
Uveitis/etiology%Uveitis/classification%Disease attributes
目的 分析探讨葡萄膜炎的类型以及可能的病因.方法 回顾性分析2009年9月至2014年9月就诊于吉林大学第二医院眼底病内科的1215例葡萄膜炎患者的临床资料.患者病史资料采集完整,相关辅助检查完善.根据解剖位置,将其表现分为前葡萄膜炎、全葡萄膜炎、中间葡萄膜炎和后葡萄膜炎.根据患者一般资料和临床辅助检查结果,分析患者年龄、性别、葡萄膜炎类型,探讨可能的病因.结果 1215例患者中,男性587例,占48.31%;女性628例,占51.69%.男女比例为0.93∶1.发病年龄4~91岁,平均发病年龄(41.43±14.20)岁.发病年龄<20岁83例,男性40例,女性43例,男女比例为0.93∶1;21~50岁808例,男性412例,女性396例,男女比例为1.04∶1;>50岁324例,男性135例,女性189例,男女比例为0.71∶1.表现为前葡萄膜炎572例,占47.08%;全葡萄膜炎527例,占43.37%;中间葡萄膜炎52例,占4.28%;后葡萄膜炎64例,占5.27%.能够明确葡萄膜炎病因、类型者703例,占57.86%;不能明确葡萄膜炎病因、类型者512例,占42.14%.能够明确葡萄膜炎病因、类型的703例患者中,伏格特-小柳-原田(VKH)综合征、强直性脊椎炎伴发的葡萄膜炎、Behcet病分别占30.44%、19.77%、14.22%,位列能够明确葡萄膜炎病因、类型患者的前3位.结论本组葡萄膜炎患者男女比例为0.93∶1,平均发病年龄(41.46±14.20)岁.VKH综合征、强直性脊椎炎伴发的葡萄膜炎和Behcet病是其常见的葡萄膜炎类型.
目的 分析探討葡萄膜炎的類型以及可能的病因.方法 迴顧性分析2009年9月至2014年9月就診于吉林大學第二醫院眼底病內科的1215例葡萄膜炎患者的臨床資料.患者病史資料採集完整,相關輔助檢查完善.根據解剖位置,將其錶現分為前葡萄膜炎、全葡萄膜炎、中間葡萄膜炎和後葡萄膜炎.根據患者一般資料和臨床輔助檢查結果,分析患者年齡、性彆、葡萄膜炎類型,探討可能的病因.結果 1215例患者中,男性587例,佔48.31%;女性628例,佔51.69%.男女比例為0.93∶1.髮病年齡4~91歲,平均髮病年齡(41.43±14.20)歲.髮病年齡<20歲83例,男性40例,女性43例,男女比例為0.93∶1;21~50歲808例,男性412例,女性396例,男女比例為1.04∶1;>50歲324例,男性135例,女性189例,男女比例為0.71∶1.錶現為前葡萄膜炎572例,佔47.08%;全葡萄膜炎527例,佔43.37%;中間葡萄膜炎52例,佔4.28%;後葡萄膜炎64例,佔5.27%.能夠明確葡萄膜炎病因、類型者703例,佔57.86%;不能明確葡萄膜炎病因、類型者512例,佔42.14%.能夠明確葡萄膜炎病因、類型的703例患者中,伏格特-小柳-原田(VKH)綜閤徵、彊直性脊椎炎伴髮的葡萄膜炎、Behcet病分彆佔30.44%、19.77%、14.22%,位列能夠明確葡萄膜炎病因、類型患者的前3位.結論本組葡萄膜炎患者男女比例為0.93∶1,平均髮病年齡(41.46±14.20)歲.VKH綜閤徵、彊直性脊椎炎伴髮的葡萄膜炎和Behcet病是其常見的葡萄膜炎類型.
목적 분석탐토포도막염적류형이급가능적병인.방법 회고성분석2009년9월지2014년9월취진우길림대학제이의원안저병내과적1215례포도막염환자적림상자료.환자병사자료채집완정,상관보조검사완선.근거해부위치,장기표현분위전포도막염、전포도막염、중간포도막염화후포도막염.근거환자일반자료화림상보조검사결과,분석환자년령、성별、포도막염류형,탐토가능적병인.결과 1215례환자중,남성587례,점48.31%;녀성628례,점51.69%.남녀비례위0.93∶1.발병년령4~91세,평균발병년령(41.43±14.20)세.발병년령<20세83례,남성40례,녀성43례,남녀비례위0.93∶1;21~50세808례,남성412례,녀성396례,남녀비례위1.04∶1;>50세324례,남성135례,녀성189례,남녀비례위0.71∶1.표현위전포도막염572례,점47.08%;전포도막염527례,점43.37%;중간포도막염52례,점4.28%;후포도막염64례,점5.27%.능구명학포도막염병인、류형자703례,점57.86%;불능명학포도막염병인、류형자512례,점42.14%.능구명학포도막염병인、류형적703례환자중,복격특-소류-원전(VKH)종합정、강직성척추염반발적포도막염、Behcet병분별점30.44%、19.77%、14.22%,위렬능구명학포도막염병인、류형환자적전3위.결론본조포도막염환자남녀비례위0.93∶1,평균발병년령(41.46±14.20)세.VKH종합정、강직성척추염반발적포도막염화Behcet병시기상견적포도막염류형.
Objective To analyze the clinical character of uveitis in second hospital ot Jilin university.Methods Retrospectively analyze the clinical data of uveitis patients referred to from Second Hospital of Jilin University from September 2009 to September 2014.According to anatomical location,the manifestation of these uveitis patients were divided into anterior uveitis,panuveitis,intermediate uveitis and posterior uveitis.To discuss the possible causes of these patients according to the general information and relevant clinical laboratory examinations results.Results There were 1215 cases in this study,which included 587 male,accounting for 48.31%;and 628 female,accounting for 51.69%.The ratio of male-tofemale was 0.93∶1.The range of the age of these patients was from 4 to 91 years old.The mean age of these patients at the onset of these disease was (41.43±14.20) years.Of the 1215 cases,40 male and 43 female were younger than 20 years.The ratio of male-to-female was 0.93∶ 1;412 male and 396 female were between 21 and 50 years old.The ratio of male-to-female was 1.04∶ 1;135 male 189 female were older than 50 years.The ratio of male-to-female was 0.71∶1.There were 572 cases of anterior uveitis,accounting for 47.08%;527 cases of panuveitis,accounting for 43.37%;52 cases of intermediate uveitis,accounting for 4.28%;64 cases of posterior uveitis,accounting for 5.27%.703 cases had etiological diagnosis according to the clinical character and the auxiliary results,accounting for 57.68%.Vogt-koyanagi Haradal (VKH) syndrome,ankylosing spondylitis associated with uveitis and Behcet' s disease were the common entity,accounting for 30.44%,19.77% and 14.22% respectively.Conclusions The mean age of these patients in this study was older,compared to other reports.Female patients were more than male,especially in these patients older than 50 years.VKH syndrome,ankylosing spondylitis associated with uveitis and Behcet's disease were the common entities.