山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (5): 62-64.doi: 10.6040/j.issn.1673-3770.0.2013.028

• 论著 • 上一篇    下一篇

以眼部为首发症状的海绵窦血管畸形临床分析

赵丽娟,张静   

  1. 胜利油田中心医院眼科,山东 东营 257000
  • 收稿日期:2013-01-17 出版日期:2013-10-16 发布日期:2013-10-16
  • 作者简介:赵丽娟。 Email:zlj7922@163.com

Clinical analysis of cavernous sinus vascular malformation with the primary symptom in the eye

ZHAO Li-juan, ZHANG Jing   

  1. 1. Department of Ophthalmology, The Central Hospital of Shengli Oilfield, Dongying 257000, Shandong, China
  • Received:2013-01-17 Online:2013-10-16 Published:2013-10-16

摘要:

目的    分析以眼部为首发症状的海绵窦血管畸形的临床病例,避免误诊本病。方法    通过对2例眼部症状相同而位置不同的海绵窦血管畸形病例分析,对此类疾病做一概述。结果    2例病例分别被误诊为“动眼神经麻痹”和“结膜炎”,经眼眶CT和全脑血管造影检查,确诊为海绵窦血管畸形所致,并给予动静脉栓塞治疗,患者眼部症状明显缓解。结论    详尽病史询问、完善辅助检查对于以眼部为首发症状的海绵窦血管畸形的诊断是必需的。

关键词: 眼部, 海绵窦, 血管畸形, 临床分析

Abstract:

Objective    To improve the understanding of cavernous vascular malformation with the primary symptom in the eye by the clinical analysis and avoid misdiagnosis. Methods    Through the analysis of two cases of the same ocular symptoms in different position, we presented an overview of this disease. Results    The 2 cases were misdiagnosed as  ocularmotor paralysis and conjunctivitis. By the orbital CT and digital subtraction angiography, we found that they were caused by cavernous vascular malformation. The patients accepted arterio-venousembolization, and eye symptoms were significantly relieved. Conclusion    It is necessary to enquire the detail medical history and improve auxiliary examination to diagnose cavernous vascular malformation with the primary symptom in the eye.

Key words: Vascular malformation, Cavernous sinus, Eye, Clinical analysis

中图分类号: 

  • R771.3
[1] 史春生1,葛长艺1,张庆泉2,孙岩2. 腭部肿瘤61例临床分析[J]. 山东大学耳鼻喉眼学报, 2013, 27(2): 46-48.
[2] 李树杰 综述,毕宏生,崔 彦 审校 . 靶向给药系统及其在眼科的应用[J]. 山东大学耳鼻喉眼学报, 2007, 21(3): 255-259 .
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