非炎性前部缺血性视神经病变和特发性视神经炎临床特点对比研究眼科学专业论文.docxVIP

韭塞挂茴韭坻血焦趣叠经瘟銮塑挂蕉性狃叠经塞!睦废技壶过出丑宜 韭塞挂茴韭坻血焦趣叠经瘟銮塑挂蕉性狃叠经塞!睦废技壶过出丑宜 亟±匠筮生堂焦迨塞 p=O．009)，非炎性前部缺血性视神经病变组眼底血管造影早期视盘充盈迟 缓发生率高于特发性视神经炎组(65．2 1％VS 22．86％，p=O．000)，非炎性 前部缺血性视神经病变组盘周脉络膜充盈迟缓发生率高于特发性视神经炎 组(73．91％VS 14．29％，p=O．000)，非炎性前部缺血性视神经病变组晚期 视盘局限性强荧光发生率高于特发性视神经炎组(52．17％VS 25．71％， p=O．019)。 结论：两组疾病在临床特点上存在部分重叠，但各自仍有独特的临床特 点，临床上可根据这些特点对两者进行鉴别。 关键词非炎性前部缺血性视神经病变，特发性视神经炎，临床特点 万方数据 NoN NoN ARTERITIC ANTERIOR I S CHEMIC OPTIC NEUROR盯HY AND IDl0R盯HIC OPTIC NEU砒TIS C0慨RATIVE STUDY OF CLINICAL FEATURES 2．ABSTRACT Obj ective：To compare the non-anterior ischemic optic neuropathy(NA-AION) and idiopathic optic neuritis(ON)clinical features． Methods：A retrospective analysis of the clinical features of 62 cases of patients with optic neuritis and 23 patients with non-anterior ischemic optic neuropathy at the First Affiliated Hospital of Guangxi Medical University between January 1，2012 and December 12，2015。Age，sex，symptoms，hospitalization visual acuity,fundus examination，fluorescein angiography,computer vision，visual evoked potentials，blood routine examination were compered and statisticed． Results：Idiopathic optic neuritis group younger than the non—anterior ischemic optic neuropathy group(43．74 years VS 53．43 years，P 2 0．020)；_Idiopathic optic neuritis group simultaneous bilateral incidence was higher than that of non arteritic anterior ischemic optic neuropathy group(29．03％VS 4．35％，P 2 3 万方数据 0．o 0．o 1 5)．Idiopathic optic neuritis group，eye pain，eye movement pain incidence was higher than that of non arteritic anterior ischemic optic neuropathy group (32．5％VS 4．35％，P20．007；23．75％；VS 0％，p=0．022)。Non-anterior ischemic optic neuropathy group optic disc edema Was higher that idiopathic optic neuritis group(95．65％VS 62．5％．P=0．002),Non arteritic anterior ischemic optic neuropathy group peripapillary hemorrhage higher incidence of idiopathic optic neuritis group(47．83％VS 1 0％，P=0．000)，Non arteritic anterior ischemic optic neuropathy group peripapillary hard exudates higher incidence