甲状腺相关性眼病眼外肌病变的治疗进展

发布时间：2018-03-09 00:23

本文选题：甲状腺相关性眼病　切入点：眼外肌病变　出处：《广西医学》2016年01期 　论文类型：期刊论文

【摘要】：甲状腺相关性眼病(TAO)是自身免疫性疾病,眼外肌病变是其主要的临床表现之一,表现为眼外肌梭形肥大、限制性斜视、复视。病变处于活动期时,应积极应用药物和(或)放射治疗,有效控制炎症,减少致残,在控制甲状腺功能、控制吸烟的基础上应用糖皮质激素治疗效果良好,必要时可联合或单独使用免疫抑制剂、免疫分子拮抗剂、生长抑素类药物或免疫球蛋白;病变处于静止期时,可进行眼外肌手术治疗纠正眼位,消除复视,重建双眼单视。
[Abstract]:Thyroid associated ophthalmopathy (TAO) is an autoimmune disease. Extraocular muscle disease is one of the main clinical manifestations of TAO, which is characterized by fusiform hypertrophy of extraocular muscle, restricted strabismus and diplopia. Active use of drugs and / or radiotherapy, effective control of inflammation, reduction of disability, effective use of glucocorticoid on the basis of control of thyroid function and smoking control, and use of immunosuppressants, if necessary, Immune molecular antagonists, somatostatin drugs or immunoglobulins; when the lesion is still, the surgery of extraocular muscles can be performed to correct the eye position, eliminate diplopia, and reconstruct binocular monopia.
【作者单位】：中国人民解放军第三0三医院;广西医科大学第一附属医院眼科;
【分类号】：R581.1;R771.3

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