眼结核误诊5例病理分析

Pathology analysis of misdiagnosed 5 ophthalmic tuberculosis cases

目的:加强临床对眼部结核感染的诊断及鉴别诊断的认识。方法:回顾性分析5例经病理检查后被确诊为眼结核病例的临床表现、诊断及治疗情况。结果:五例眼结核中1例眼眶结核,4例全眼球结核。术前B超、CT检查均为眼(眶)内占位性病变行眼球摘除术,术后经病理检查确诊为眼部结核感染,术后给与抗结核治疗。结论:结核性眼内炎与眼内占位性病变的临床表现和眼影像学检查包括B超、CT表现极为相似,诊断时须重视鉴别,必要时经病理检查确诊。

AIM： To strengthen clinical knowledge of diagnosis and discrimination with ophthalmic tuberculosis METHODS： The clinical manifestations, diagnoses and treatments of 5 ophthalmic tuberculosis cases were reviewed. RESULTS;All 5 cases were misdiagnosed as endophthalmol or endorbita tumour with B-ultrasound and CT therefore being excised eyeballs, after the operations these cases was made definite diagnosis with pathologic inspection. After the operation resisting infection and tuberculosis, medicine was taken. CONCLUSION： The clinical manifestations and ophthalmic images including B-ultrasound and CT are very resemble between some ophthalmic tuberculosis and endophthalmol or endorbita tumour, the discrimination should be paid attention to, pathologic inspection should be employed when necessary.