眼缺血性疾病与颈动脉狭窄的相关性研究  

Correlation of ocular ischemia disease with carotid stenosis

作　　者：赵军[1] 胡莲娜[1] 魏世辉[2] 

机构地区：[1]解放军第306医院,北京市100101 [2]解放军总医院眼科

出　　处：《总装备部医学学报》2009年第2期72-73,共2页Medical Journal of General Equipment Headquarters

基　　金：解放军总后勤部"十一五"面上项目基金资助课题(编号04M042);吴阶平医学基金会资助课题(编号2003-32-D)

摘　　要：目的探讨眼缺血性疾病与颈动脉狭窄是否存在一致性。方法选取眼缺血性疾病70例,包括缺血性视神经病变32例、视网膜中央(分支)动脉阻塞12例、眼外肌麻痹18例、眼缺血综合征4例、新生血管性青光眼4例,采用颈动脉超声检查是否存在颈动脉狭窄,结果使用SPSS12.0软件进行统计学分析。结果视网膜中央(分支)动脉阻塞、眼外肌麻痹、眼缺血综合征、新生血管性青光眼患者发生颈动脉狭窄的比例显著升高(P<0.05),缺血性视神经病变患者颈动脉狭窄的发生比例无明显升高。结论在各类眼缺血性疾病中,视网膜中央(分支)动脉阻塞、眼外肌麻痹、眼缺血综合征、新生血管性青光眼与颈动脉狭窄的发生相关,而缺血性视神经病变与颈动脉狭窄的发生缺乏一致性。Objective To evaluate the clinical correlation of ocular ischemia disease with the carotid stenosis.Methods 70 patients with ischemia disease were selected,and examined by carotid color Doppler.The results were studied statistically.Results The existence of carotid stenosis was significantly higher in patients with central(branch) retinal artery occlusion,ophthalmoparalysis,ocular ischemic syndrome,and neovascular glaucoma.But it did not occur in patients with ischemic optic neuropathy.Conclusion Among the ocular ischemic diseases,central(branch) retinal artery occlusion,ophthalmoparalysis,ocular ischemic syndrome,and neovascular glaucoma could predict the existence of carotid stenosis,but ischemic optic neuropathy could not.

关 键 词：眼 缺血 颈动脉狭窄 

分 类 号：R771[医药卫生—眼科] R743.3[医药卫生—临床医学]