子痫前期患者眼底血管结构改变的研究进展  

Ocular Fundus Vascular Changes in Patients with Preeclampsia

作　　者：何心怡 童毓华[2] He Xinyi;Tong Yuhua(Second Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Ophthalmology,People’s Hospital of Quzhou,Quzhou 324000,China)

机构地区：[1]浙江中医药大学第二临床医学院,杭州310053 [2]浙江省衢州市人民医院眼科中心,衢州324000

出　　处：《华中科技大学学报（医学版）》2021年第2期261-265,共5页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：浙江省自然科学基金资助项目(No.LGF18H120002)。

摘　　要：子痫前期(preeclampsia,PE)是一种特殊的妊娠期高血压疾病,涉及全身多系统器官。其基本病理生理尚不清楚,但多数学者认为与长期胎盘灌注不足造成的全身小血管痉挛有关。眼底血管是活体状态下全身唯一能够直接观察到的血管,反映了全身血管状况,同时在一定程度上反映了高血压疾病的严重程度。因此,观察眼底血管的改变对评估PE临床风险有着重要意义。该文对PE患者的眼底血管结构变化进行了综述,涵盖近年来国内外最新的研究结果,以期对PE的早期诊疗提供帮助。Preeclampsia(PE)is a specific disease that involves multiple systems and organs during pregnancy.The basic pathophysiological mechanism is unclear,but most scholars believe that it is related to systemic small vessel spasm caused by long-term insufficient placental perfusion.The fundus vessel is the only one that can be directly observed in a living state.It can not only reflect the vascular condition of the whole body,but also show the severity of hypertension disease to a certain extent.Therefore,it is of great significance to evaluate the clinical risk stratification of PE by observing the fundus vessels’changes.This review summarizes the changes of fundus vascular structure in PE patients,especially the new research at home and abroad in recent years,in order to provide guidance for the early diagnosis and treatment of PE.

关 键 词：子痫前期 眼底血管结构 光学相干断层扫描 光学相干断层扫描血管造影 

分 类 号：R714.244[医药卫生—妇产科学]