非动脉炎性前部缺血性视神经病变与颈动脉狭窄的相关性

摘要

Objective To investigate the correlation between nonarteritic anterior ischemic optic neuropathy(NAION)and carotid artery stenosis.Methods The clinical datas of 232 inpatients diagnosed as NAION from 2012 to 2015 were retrospectively analyzed.Results Among the 232 patients,193 patients underwent the carotid color doppler flow imaging(CDFI)examination and the detection rate was 83.2%(193/232). There were 133 patients(68.9%) with abnormal carotid artery: 104 patients(53.9%)with carotid plaques;83 patients(43.0%)with carotid artery stenosis.ConclusionThere is strong correlation between carotid artery stenosis and NAION. For patients with NAION,the CDFI examination has an important clinical significance.%目的：探讨非动脉炎性前部缺血性视神经病变（nonarteritic anterior ischemic optic neuropathy，NAION）与颈动脉狭窄的相关性。方法对2012年～2015年我科住院的232例NAION患者的临床资料进行回顾分析。结果232例患者中193例行颈动脉彩色多普勒血流成像（carotid color doppler flow imaging，CDFI）检查，检测率为83.2%，颈动脉异常者133例，阳性率为68.9%。其中斑块检出104例（53.9%），颈动脉狭窄83例（43.0%）。结论 NAION与颈动脉狭窄密切相关，对NAION患者进行颈部CDFI检查有重要的临床意义。