荧光素眼底血管造影在早期视网膜分支静脉阻塞诊断中的应用  

Clinical Analysis of the Fundus Fluorescent Angiography of Early Branch Retinal Vein Occlusion

作　　者：赫红丹[1] 王洁[1] 邴寒[1] 金奎东[1] 郭续媛[1] 

机构地区：[1]黑龙江省医院眼科,黑龙江哈尔滨150001

出　　处：《黑龙江医学》2015年第8期929-930,共2页Heilongjiang Medical Journal

摘　　要：目的观察早期视网膜分支静脉阻塞的荧光素眼底血管造影图像特征,探讨其对临床诊疗意义。方法对我院接受FFA检查的90例患者(126只眼)的荧光素眼底血管造影结果进行回顾性分析。其中患有高血压者32例,高血脂者26例,糖尿病者32例。结果高血压组32例患者中发现早期视网膜分支静脉阻塞3例,占9.38%。高血脂组26例患者中发现2例视网膜中央静脉阻塞,占7.69%。糖尿病组32例患者中发现早期视网膜分支静脉阻塞2例,占6.25%。其中的5例早期视网膜分支静脉阻塞患者的荧光素眼底血管造影,与典型病例明显不同。结论对于早期视网膜分支静脉阻塞病例,应该注重其与糖尿病视网膜病变等疾病的鉴别诊断,避免漏诊和误诊。FFA在诊断早期视网膜分支静脉阻塞方面具有重要的意义。Objective To observe early branch retinal vein occlusion,character in the fundus fluorescein angiograophy（ FFA）,and discuss the significance in clinic diagnosis. Methods Retrospectively reviewing and analyzing the fundus fluorescein angiograophy data of90 patients 126 eyes. Among these patients,there were 32 patients with hypertension,and 26 patients with hyperlipemia,and 32 patients with diabetes. Results There are 3 cases with early branch retinal vein occlusion in 32 cases with hypertension（ 9. 38%）,and 2 cases with central retinal vein occlusion（ CRVO） in 26 cases with hyperlipemia（ 7. 69%）,and 2 cases with early branch retinal vein occlusion in32 cases with diabetes（ 6. 25%）. The fundus fluorescein angiograophy data of 5 cases with early branch retinal vein occlusion is different from the classic cases. Conclusion It is very important to differentiate early branch retinal vein occlusion and the other diseases,such as diabetic retinopathy. Hospitals should avoid to miss the correct diagnosis,and make the wrong diagnosis. FFA contributes to the diagnosis of early branch retinal vein occlusion.

关 键 词：早期视网膜分支静脉阻塞 荧光素眼底血管造影 诊断 

分 类 号：R770.4[医药卫生—眼科]