内因性葡萄膜炎354例临床分析

摘要

目的探讨内因性葡萄膜炎的临床分布特点。方法 6a间连续收集各类急性或复发性葡萄膜炎病人354例，行详尽的临床检查和血清免疫学检查。结果在354例葡萄膜炎病人中，前葡萄膜炎165例(46.6%)，后葡萄膜炎118例(33.3%)，全葡萄膜炎57例(16.1%)，周边部葡萄膜炎14例(4.0%)。致盲率为5.9%，致盲原因是增殖性视网膜病变、继发性青光眼和并发性白内障等。与全身病有关联者167例(47.2%)，主要为骨关节病变、VKH综合征、Behcet 综合征、弓形虫感染等。结论健全和完善特异性实验室检查后，才可对葡萄膜炎进行病因学确诊和给予适当的治疗。%Objective　To explore the clinical characters and distributions of the endogenous uveitis.Methods　Both clinical examinations and immunologic investigations were performed in 354 patients with cases of uveitis within six years.Results　Among 354 uveitis, the anterior uveitis were 165 cases(46.6%), the posterior uveitis 118 cases (33.3%),the pan-uveitis 57 cases(16.1%) and the intermediate uveitis 14 cases(4.0%). The blind rate among the patients was 5.9%, the main causes were proliferative retinopathy, secondary glaucoma and complicated cataract. 167 cases(47.2%)of patients were related to the systemic changes, the bone-joints disease, Vogt-Koyanagi-Harada syndrome, Behcet syndrome and toxoplasma infection were common.Conclusion　Complete clinical and immunologic examinations can ensure the defined diagnosis and proper treatment for the patients with endogenous uveitis.