Behcet病21例临床分析及眼内超声表现

Clinical analysis and ultrasound features of eyes in 21 cases with Be hcet's disease

目的:探讨Behcet病的临床特征以及超声检查对眼部损害的诊断价值。方法:回顾性分析了21例Behcet病的临床资料,包括8例眼部损害患者(13只眼)的超声图像特点。结果:口腔溃疡、外生殖器溃疡、皮肤损害、眼部病变是本组Behcet病的基本临床特征,以口腔溃疡最常见。前房积脓,玻璃体雪球状浑浊,伴粟粒样强回声光点及纤维光带形成等是Behcet病的主要超声表现。结论:某些口腔溃疡反复发作常规治疗效果欠佳时,可能是Behcet病的早期表现。超声检查可对Behcet病眼部损害以及本病的早期诊断提供有用的影像学依据。

Objective： To analyze the clinical features and diagnostic value of ultrasound in detection of ocular lesions of Behcet＇s disease. Methods： The clinical data on 21 cases of Behcet＇ s disease and the ophthalmic characteristics of ultrasound in 8 cases of Behcet＇s disease were analyzed respectively. Results： Oral and genital ulcers, cutaneous lesions and ocular lesions were major clinical features. Empyesis, vitreous opacity, military strong echo hght spots and fibrosis hght belt were common characteristic in ocular lesions. Conclusion： Recurrent and non - responded oral ulcer may suggest early symptom of Bechet＇ s disease. Ophthalmic ultrasound examination may provide useful evidence for the early diagnosis of Behcet＇ s disease.