天津医药

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前部缺血性视神经病变与腔隙性脑梗死的关系

李惠玲   

  1. 天津市环湖医院
  • 收稿日期:2011-01-21 修回日期:2011-02-26 出版日期:2011-11-15 发布日期:2011-11-15
  • 通讯作者: 李惠玲

Clinical analysis Between Anterior ischemic optic neuropathy and lacunar infarction

  • Received:2011-01-21 Revised:2011-02-26 Published:2011-11-15 Online:2011-11-15

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摘要： 摘要 目的 探讨前部缺血性视神经病变（AION）与腔隙性脑梗死的相关性。方法 回顾2007年3月至2010年6月就诊的53例79眼前部缺血性视神经病变患者的视力、视野、眼底，视电生理、眼底荧光血管造影、CT或MRI等资料，分析AION与腔隙性脑梗死的关系。结果 所有患者经视野检查确诊为前部缺血性视神经病变；在53例患者中有47例做了CT或MRI检查，其中16例诊断为腔隙性脑梗死，占34%。在53例患者中，高血压者23例，占43.4%,糖尿病者14例,占26.4%,腔隙性脑梗死者16例,占 30.2%,其中单眼10例,双眼6例。结论 前部缺血性视神经病变（AION）与腔隙性脑梗死密切相关；对于前部缺血性视神经病变（AION）患者应常规行脑CT或MRI检查。

关键词: 前部缺血性视神经病变, 腔隙性脑梗死, 病因

Abstract: [Abstract]Objective To investigate the association between anterior ischemic optic neuropathy(AION) and lacunar infarction .Methods Review 79 eyes checked with visual sight,ocular fundus ,visual field ,electro-physiology,fundus fluorescein angiography and CT 0n 53 patients diagnosed as AION ,whom were treated in –patient department from mar.2007to jun.2010.Results All patients were diagnosed as AION.Among 53 patients ,47 of whom were checked with CT or MRI ,while 16 patients were diagnosed as lacunar infarction,the percent to 47 is 34%.Among 53 patients,43.4% which was 23 patients were with high blood pressure; 26.4% which was 14 patients were diabetics; Among those who diagnosed as lacunar infarction ,unilateral AION were 10 patients ,bilateral AION were 6 patients. Conclusions There are strong relativity between lacunar infarction and AION.All the patients with AION have to check with CT or MRI regularly.

Key words: anterior ischemic optic neuropathy, lacunar infarction, etiopathogenisis