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目的进一步认识眼型Behcet病的临床特征。方法回顾性总结1992年9月～2003年9月间,以眼部损害为主要表现前来我院就诊的65例Behcet病患者的临床资料,从首发表现、眼部及眼外表现、眼底荧光血管造影(FFA)和临床疗效特点诸方面进行分析。结果本组未见眼部损害为首发表现者。首发临床表现以口腔溃疡居首位(80.0%),口腔溃疡发生率占100%。FFA以视网膜主干血管及视盘渗漏为主者,病势较轻,预后良好;以视网膜微血管渗漏为主者,病势较重;伴视网膜出血及棉绒状斑者,病势最为凶险。表现为前部葡萄膜炎及角膜炎者预后较好。结论对眼部及眼外病变的全面正确认识是及时诊断治疗Behcet病的关键。
Objective To further understand the clinical features of ocular Behcet’s disease. Methods From September 1992 to September 2003, retrospectively reviewed the clinical data of 65 patients with Behcet’s disease who came to our hospital with eye damage as their main manifestation. The results were as followings: first-mover performance, ocular and extraocular conditions, fundus fluorescence Angiography (FFA) and clinical efficacy characteristics of various aspects of the analysis. Results This group did not see eye damage as the first performance of persons. The first clinical manifestations of oral ulcers ranked first (80.0%), the incidence of oral ulcers accounted for 100%. FFA to the main retinal blood vessels and optic disc leakage, mild disease, the prognosis is good; the main retinal microvascular leakage, severe disease; with retinal hemorrhage and lint-like spot, the most dangerous disease. The performance of the anterior uveitis and keratitis better prognosis. Conclusion The comprehensive and correct understanding of the ocular and extra-ocular lesions is the key to timely diagnosis and treatment of Behcet’s disease.