3288名新兵视网膜静脉周围炎患病情况调查

发布时间：2018-08-14 10:06

【摘要】：目的了解健康青年人视网膜静脉周围炎(Eales)病患病情况,为选兵标准的修订提供依据。方法以驻京部队2003年入伍新兵为研究对象,在散瞳状态下,用双目间接眼底镜检查新兵周边视网膜,然后对视网膜静脉周围炎可疑病例作进一步检查进行确诊。结果3 288名新兵中,26例确诊为视网膜静脉周围炎,患病率为0.8%。确诊为视网膜静脉周围炎的患者中,眼底表现为血管旁白鞘的检出阳性率为100%,明显高于其他眼底表现(P0.01);荧光血管造影表现为血管壁着染的检出阳性率为100%,显著高于其他血管造影表现(P0.01);血管壁渗漏的检出阳性率为34.6%,明显高于毛细血管无灌注和新生血管(P0.05)。结论新兵中视网膜静脉周围炎的患病率较高,应引起重视。眼底表现为血管旁白鞘和荧光血管造影表现为血管壁着染均阳性,可作为视网膜静脉周围炎的确诊依据。
[Abstract]:Objective to investigate the prevalence of (Eales) disease in healthy young people and to provide evidence for the revision of military selection criteria. Methods the peripheral retina was examined by binocular indirect ophthalmoscopy under the condition of mydriasis, and the suspected cases of retinal perivenous inflammation were confirmed by further examination. Results among the 3 288 recruits, 26 cases were diagnosed as retinal perivenous inflammation, and the prevalence rate was 0.8%. Among the patients diagnosed with retinal perivenous inflammation, The positive rate of vascular bypass sheath was 100, which was significantly higher than that of other fundus manifestations (P0.01), and the positive rate of fluorescein angiography was 100 and significantly higher than that of other angiographic manifestations (P0.01), and that of vascular wall leakage was significantly higher than that of other angiographic manifestations (P0.01). The positive rate was 34.6, which was significantly higher than that of capillary without perfusion and neovascularization (P0.05). Conclusion the prevalence of retinal vein pericarditis in recruits is high and should be paid more attention to. The fundus manifestations were vascularized white sheath and fluorescein angiography, which could be used as the diagnostic basis for the diagnosis of retinal vein perivenous inflammation.
【作者单位】：解放军总医院眼科解放军第五医院北京大学公共卫生学院流行病与卫生统计学系吉林大学第二医院解放军总医院眼科
【基金】：全军“十五”指导令性课题项目(No.04M042) 吴阶平医学基金会资助项目(No.2003-32-D)
【分类号】：R82

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