视神经炎临床误诊54例分析  

Clinical analysis of 54 cases misdiagnosed as optic neuritis

作　　者：赵芳[1] 李双[1] 

机构地区：[1]中国湖北省武汉市中心医院眼科,430014

出　　处：《国际眼科杂志》2015年第3期546-548,共3页International Eye Science

基　　金：国家自然科学基金(No.81300761)~~

摘　　要：目的:对54例其他疾病误诊为视神经炎的临床资料进行分析,探讨减少误诊的措施。方法:对2000-09/2013-06被误诊为视神经炎的54例患者的临床资料进行分析,总结其误诊特点。结果:不少疾病极易被误诊为视神经炎,易误诊疾病包括缺血性视神经病变、颅内肿瘤、视乳头血管炎、有髓神经纤维等。结论:详细询问病史,完善辅助检查,加强眼底疾病及神经眼科知识的学习,有助于减少眼底表现近似视神经炎的疾病的误诊。AIM： To analyze the clinical data of 54 cases misdiagnosed as optic neuritis and to explore measures to reduce misdiagnosis METHODS： This retrospective study comprised 54 patients that had been misdiagnosed as optic neuritis from September 2000 to June 2013. The misdiagnosis features were summarized.RESULTS： Many diseases can easily be misdiagnosed as optic neuritis, including ischemic optic neuropathy,intracranial tumors, optic nerve vasculitis,myelinated nerve fibers,and so on.CONCLUSION： The measures to reduce misdiagnosis consisted of detailed history collection,perfect physical examination and comprehensive expertise of fundus disease.

关 键 词：视神经炎 误诊 指导意义 

分 类 号：R774.61[医药卫生—眼科]