结核性视网膜脉络膜炎的临床特征研究

Research on clinical features of tubercular retinochoroiditis

目的探讨结核性视网膜脉络膜炎的临床特征,为临床诊疗提供参考。方法选取2012年7月至2013年11月重庆市公共卫生医疗救治中心收治的结核性视网膜脉络膜炎的患者30例,回顾性分析其临床特征、眼底检查等病理资料。结果 30例结核性视网膜脉络膜炎病变以单眼多见,且多累及视网膜脉络膜的周边部,视力下降者少见。眼底以黄白色或者灰白色边界不清结节样改变为主,经积极抗结核治疗效果较好。结论结核病变广泛及免疫力低下者易合并结核相关性眼底改变,对指导临床诊疗有重要意义。

Objective To investigate the clinical features of tuberculous retinochoroiditis to provide reference for its clinical diagnosis and treatment .Methods 30 patients with tuberculous retinochoroiditis admitted into our cen‐ter from July 2012 to November 2013 were selected and performed the analysis on the clinical features and the patho‐logical data of fundus examination results and so on .Results In 30 cases of tuberculous retinochoroiditis ,the lesion was dominated by single eye ,involved in the peripheral part of retina choroid ,and the vision decrease was rare .The fundus mainly had the yellowish‐white or grey white nodule lesions with unclear margin .The active anti‐tuberculous treatment could obtain the better curative effect .Conclusion The patients with extensive tuberculous lesions and hy‐poimmunity individuals are easy to complicate with tuberculosis related retinochoroiditis ,which has important signifi‐cance for guiding clinical diagnosis and treatment .is a common fundus lesion among tuberculosis patients and can serve as a diagnostic clue clinically .