黄斑部出血的鉴别诊断  

The differential diagnosis ofmacular hemorrhage

作　　者：陈丽红[1] 吕志刚[1] 王晓鹏[1] 

机构地区：[1]浙江省金华市中心医院眼科,金华321000

出　　处：《中国实用眼科杂志》2009年第1期55-57,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 分析黄斑部出血的病因及眼底血管造影在诊断中的作用。方法对142例152只眼黄斑部出血患者的眼底荧光血管造影和吲哚青绿血管造影，结合病史、临床检查结果进行分析。结果90例98只眼黄斑部出血患者的眼底血管造影结果显示有脉络膜新生血管（CNV），其中老年黄斑变性湿性型39例44只眼，中心性渗出性脉络膜视网膜病变（特发性CNV）23例23只眼，高度近视22例25只眼，息肉状脉络膜血管病变4例4只眼，多灶性脉络膜炎1例1只眼，诊断不明1例。在非脉络膜新生血管所致的52例54只眼中，高度近视漆裂纹出血17例19只眼，视网膜大动脉瘤12例12只眼，黄斑区小分支静脉阻塞8例8只眼，黄斑前膜5例5只眼，脉络膜外伤4例4只眼，脉络膜血管瘤4例4只眼，诊断不明2例。结论眼底血管造影对黄斑部出血疾病病因的鉴别诊断有重要价值，对治疗有指导意义。Objective To investigate the causation and the fimction offundus angiography in the diagnosis ofmacular hemorrhage.Methods Patients with macular hemorrhages （ 142 cases）underwent Fundus Fluorescein Angiography（FFA ）and partially underwent Indocyanine Green Angiography（ICGA）, .Fluorescein and indocyanine green fundus angiography were used to evalute the macular morphologic results.Results The result of ftmdus angiography showed that 90 cases 98 eyes had choroidal neovacularization, There were exudation age-related macular degeneration 39 cases （44 eyes）,idophaic CNV 23 cases （23eyes）and highly myopia 22 cases （25 eyes）, Polypoidal Choroidal Vasculpathy （PCV）4cases （4eyes）, multifocal choroidit 1 case （1 eye）and nodifferentiate 1 cases.52 cases （54 eyes）had not CNV.There were highly myopic cracks in macula 17 cases （ 11 eyes）, retinal arterial macroaneurysm 12cases （ 12 eyes）, retinal vein occlusions in macula 8 cases（8 eyes）, Idiopathic macular preretinal membrane 5 cases（5 eyes）, traumatic break in choroid 4patients （4 eyes） ,Choroidal hemangioma4cases （4 eyes）.It was difficult to differentiate in 2 cases.Conclusions Fundus angiography plays an important role in the diagnosis and the guidance to the treatment of macular hemorrhage.

关 键 词：黄斑出血 眼底荧光血管造影 吲哚青绿血管造影 

分 类 号：R733.710.4[医药卫生—肿瘤] R774.1[医药卫生—临床医学]