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目的:探讨眼结核的诊断及治疗方法。方法:回顾性分析1999/2007年9例眼结核病例的临床资料。9例病例中,1例被诊断为眼睑结核,2例为泡状角结膜炎,3例为色素膜炎,2例为视网膜静脉周围炎,1例为结核性脉络膜视网膜炎。均给予抗结核治疗。结果:所有患者经系统抗结核治疗1 a后,随访3个月~7 a。其眼部病灶均得到控制。结论:病史、临床特点和病程演变在眼结核的诊断上很重要。对具有结核诱因的某些顽固性炎症应想到结核的可能,并可试用抗结核治疗。
Objective: To discuss the diagnosis and treatment of eye tuberculosis. Methods: The clinical data of 9 cases of eye tuberculosis in 1999/2007 were retrospectively analyzed. Of the 9 cases, one was diagnosed with eyelid tuberculosis, two were vesicular keratoconjunctivitis, three were uveitis, two were retinal vein inflammation, and one was tuberculous chorioretinitis. All given anti-TB treatment. Results: All patients were treated with systemic antituberculosis for 1 year and followed up for 3 months to 7 years. The eye lesions are under control. Conclusions: History, clinical features and course of disease development are important in the diagnosis of ocular tuberculosis. Certain tuberculous inflammation with tuberculosis should be reminded of the possibility of tuberculosis, and trial of anti-TB treatment.