息肉状脉络膜血管病变临床误诊分析  

Clinical analysis of misdiagnosis for polypoidal choroidal vasculopathy

作　　者：郑瑜[1] 沙翔垠[1] 郭露萍[1] 吴兴萍[1] 花赞美 

机构地区：[1]广州医科大学附属第二医院眼科,广州510260

出　　处：《中国眼耳鼻喉科杂志》2016年第1期30-32,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

基　　金：广东省中医药局资助项目(20141178)

摘　　要：目的分析息肉状脉络膜血管病变(PCV)的临床误诊原因,以作出正确诊断。方法回顾分析31例经吲哚青绿血管造影(ICGA)确诊为PCV患者的眼底、荧光素眼底血管造影(FFA)、相干光断层扫描(OCT)、B超改变情况。结果误诊为湿性年龄相关性黄斑病变5例,误诊为慢性中心性浆液性脉络膜视网膜病变3例,误诊为孔源性视网膜脱离1例。结论提高对PCV的全面认识,掌握其眼底、FFA、OCT、B超特征性改变,可降低临床误诊率。Objective To make the correct diagnosis of polypoidal choroidal vasculopathy （PCV） by analyzing the reasons of misdiagnosis. Methods A retrospective analysis in 31 patients who were diagnosed by using indocyanine green angiography （ICGA）. The features of these patients＇ fundus, fundus fluorescein angiography （FFA）, optical coherence tomography （OCT） and B ultrasonic scan were analyzed and summarized. Results Five patients were misdiagnosed as wet age-related macular degeneration （ ARMD ）. Three patients were misdiagnosed as chronic central serous ehorioretinopathy （ CSC ）. And 1 patient was misdiagnosed as rhegmatogenous detachment of retina （ RRD ）. Conclusions In order to decrease the rate of misdiagnosis in clinical work, comprehensive understanding of PCV should be improved and characteristic changes of examinations can help to make correct diagnosis such as fundus, FFA, OCT and B ultrasonic scan.

关 键 词：息肉状脉络膜血管病变 误诊 诊断 

分 类 号：R773.4[医药卫生—眼科]