视网膜静脉阻塞与颈动脉狭窄的相关性研究

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1、视网膜静脉阻塞与颈动脉狭窄的相关性研究秦素英(河南省安阳市眼科医院门诊455000)目的:探究视网膜静脉阻塞与颈动脉狭窄的相关性研究，并为其临床检测、治疗与预后提供参考。方法:选择我院52例视网膜静脉阻塞患者(52只眼)为研究组，对其裸眼视力、矫正视力、眼压、眼底血管荧光造影(FFA)等检查资料进行分析，并进行多普勒彩超检查，记录其颈动脉狭窄情况，并对两种疾病之间的关系进行分析。同时选取52例健康人作为对照组，对其进行相关检查后，排除眼部相关疾病。结果:经过相关检查后，研究组52例患者确诊为视网膜静脉阻塞(RVO),其多普勒彩超结果显示，患者患侧与健侧劲动脉血流动力学各项差异不

2、明显(P>；0.05)；其IMT值较之对照组显著增高(P<0.05);其PSV与EDV值有所降低，差异具有统计学意义(P<0.05)。结论:视网膜静脉阻塞患者大多存在颈动脉狭窄，因此检测颈动脉血流动力学对于诊断与预防视IM膜静脉阻塞有着重要作用。【关键词】视网膜静脉阻塞；颈动脉狭窄；相关性R77A2095-1752(2015)23-0190-03Thecorrelationstudyofretinalveinocclusionwithstenosisofcarotidartery【Abstract】ObjectiveToexploretheimprovement

3、ofthevisualfunctionaftertreatmentonthepatientsthatsufferfromcarotidarterystenosiswithretinalveinocclusion,andtoprovidethebasisforclinicalexpectedtreatmenteffectofseverecerebralvascularaccidentandimprovetheischemicopticnervediseases.MethodsInourhospital,52patientswithretinalveinocclusion(52ey

4、es)weretreatedastheexperimentalgroup,52healthypeoplewereselectedascontrolgroup.Thenakedvision,correctedvisualacuity,intraocularpressure,andfundusfluoresceinangiography(FFA)examinationwereanalyzed.ThecarotidarterystenosiswasrecordedbycolorDopplerultrasoundexaminationandtherelationshipsbetween

5、thistwodiseaseswereanalyzed.ResultsAftertherelatedexamination,thestudygroupof52patientsshowsdiseasediagnosedwithretinalveinocclusion(RVO).AndtheresultsofDopplerultrasoundshowsipsilateralandcontralateralhemodynamicsoftheKingwasnotsignificantlydifferent(P>0.05).ThevalueofIMTwerehigherthanth

6、econtrolgroupsignificantly(P<0.05),andPSVandEDVdecrease,thedifferencewasstatisticallysignificant(P<O.O5).ConclusionMostpatientswithretinalveinocclusionarecarotidarterystenosissimultaneously,sothedetectionofcarotidarterybloodflowvelocityplaysanimportantroleinthediagnosisandpreventionofr

7、etinalveinocclusion.【Keywords】Retinalveinocclusion;Carotidarterystenosis;Correlation视网膜静脉阻塞(retinalveinocclusion,RVO)是一种比较常见的眼底血管病，该病可以引起视力障碍，甚至眼部致盲。1877年，视网膜分支静脉阻塞首先被Leber［l］关注并II描述；1878年，视网膜中央静脉阻塞被vonMichele［2］命名。根据国外某研究报告显示，视网膜静脉阻塞多发于中老年。但是根据近几年