摘要
目的探讨眼结核的临床特征,提高临床诊断水平。方法回顾性分析近25年来确诊的12例眼结核的病例资料。结果12例眼结核中,眼睑结核5例,眼眶、脉络膜结核各2例,球结膜、半月皱襞、泪囊结核各1例。临床表现为各个部位的占位病变或炎症。4例患者未发现眼外结核病灶,其余8例先后或同时患有肺结核、肠结核、小脑结核、睾丸结核、头颈部皮肤或淋巴结核。结论眼部结核常表现为眼表新生物或眼眶、球内占位病变,确诊主要依靠病理检查。眼科医师应重视全身结核病史的询问,避免临床误诊。
Objective Human tuberculosis（TB） is an epidemic disease in developing countries. Ocular TB is difficuh to diagnose because of lack of active systemic tuberculosis in most patients. Aim of this study was to present the clinical and histopathological findings of ocular TB and offer valuable information for its clinical diagnosis. Methods Retrospective analysis was performed on 12 cases suffering from ocular TB diagnosed from January,1981 to April,2005 at West China Hospital. Results Five cases of eyelid TB,2 cases of orbital and choroidal TB were included in the data. Other ocular TB was in bulbar eonjunctiva, plica semilunaris and lacrimal sac, separately. The inflammation or neoplasm of laeal area was the main manifestation of ocular TB. Extraocular TB including lung, intestine, cerebellum, testicle and lymphaden was also found in 8 eases. Histopathologic examination demonstrated granulomatous inflammation in all patients and acid-fast bacillus was found in 5 patients. Conclusion Ocular TB always manifests occupation or inflammation of the eye. Ophthalmologist should pay attention to the history of systemic TB for a correct diagnosis and treatment.
出处
《眼科研究》
CSCD
北大核心
2006年第6期636-638,共3页
Chinese Ophthalmic Research
关键词
眼结核
诊断
病理检查
ocular tuberculosis
diagnosis
pathologic examination
