后部眼球筋膜下曲安奈德注射治疗视盘血管炎  

Posterior sub-tenon's injection of triamcinolone acetonide in the treatment of optic disc vasculitis

作　　者：刘懿[1] 刘德成[1] Liu Yi;Liu Decheng(Department of Ophthalmology,The Seventh People’s Hospital of Zhengzhou,Zhengzhou 450016,China)

机构地区：[1]郑州市第七人民医院眼科,450016

出　　处：《中华眼外伤职业眼病杂志》2020年第2期117-121,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的:评估后部眼球筋膜下注射曲安奈德治疗视盘血管炎的效果。方法:回顾性分析郑州市第七人民医院2016年5月至2019年5月60例(60眼)视盘血管炎的临床资料。患者均采用自行改制6号泪道冲洗针头进行后部眼球筋膜下注射曲安奈德40 mg/0.5 ml,同时辅以静脉滴注复方血栓通及能量合剂,颞浅动脉旁皮下注射复方樟柳碱注射液,口服甲钴胺、胞二磷胆碱及复合维生素B。随访观察6~18个月。结果:60例均治愈,视力有不同程度提高,部分患者黄斑中心凹形态恢复,水肿减轻。结论:后部眼球筋膜下注射曲安奈德治疗视盘血管炎安全有效,操作简单,费用低廉。Objective To evaluate the efficacy of posterior sub-tenon’s injection of triamcinolone acetonide in the treatment of optic disc vasculitis.Methods The clinical data of 60 eyes of 60 patients with optic disc vasculitis from May 2016 to May 2019 in the Seventh People’s Hospital of Zhengzhou were retrospectively analyzed.Triamcinolone acetonide 40 mg/0.5 ml was injected into Tenon’s capsule with a self-made gauge 6 lacrimal irrigation needle,and compound Xueshuantong and energy mixture were infused intravenously,compound anisodine injection was injected subcutaneously beside superficial temporal artery,methylcobalamin,citicoline and compound vitamin B were taken orally.All patients were followed up for 6-18 months.Results All 60 cases were cured within 6 to 18 months after treatment.The visual acuity were improved and the shape of macular fovea were restored,macular edema were alleviated.Conclusion Posterior sub-tenon’s injection of triamcinolone acetonide in the treatment of optic disc vasculitis is safe,effective,simple and inexpensive.

关 键 词：血管炎 视盘 曲安奈德 注射 眼球筋膜下 后部 效果 临床 

分 类 号：R77[医药卫生—眼科]