论著

眼囊尾蚴病7例的临床病理分析

Clinicopathological analysis of 7 cases of ocular cysticercosis

:630-635
 
目的:探讨眼囊尾蚴病的临床病理学特点。方法:回顾性分析7例眼囊尾蚴病的临床资料、大体与镜下病理改变。结果:男女性别比1:6,平均年龄24.7(中位数20)岁。临床以眼睑与眼周红肿、肿胀为主要症状3例,视物不清、视力下降2例,复视1例,结膜红肿1例。囊尾蚴寄生于球结膜1例,寄生于眼球内2例,寄生于眼眶内4例。7例均见到猪囊尾蚴,均在虫体内找到石灰小体,其中2例伴有坏死,可在坏死物中找到石灰小体。结论:眼囊尾蚴病以青少年女性多见,眼内型以视力下降为主要症状,眼眶型以眼睑与眼周红肿、肿胀为主要症状。找到囊尾蚴虫体与头节是眼囊尾蚴病明确诊断依据之一,石灰小体是该病重要病理诊断线索。
Objective:To explore the clinicopathological characteristics of ocular cysticercosis. Methods: The clinical data,grossing and microscopic pathological changes of 7 cases of ocular cysticercosis were analyzed retrospectively.Results: In this study, the male-to-female ratio was 1:6, the mean age was 24.7 (median age 20) years old. Of these patients, 3 patients presented with eyelid and periocular redness and swelling, 2 with blurred vision and decreased vision, 1 with diplopia, and 1 with conjunctival swelling and redness. In addition, 1 case was parasitized by cysticercus in the bulbar conjunctiva, 2 cases were in the eyeball and 4 cases were in the orbit. Cysticercus cellulosae containing calcareous corpuscle were observed in all cases, including 2 were accompanied by necroses with calcareous corpuscle.Conclusion: Ocular cysticercosis is found to be more common in female adolescents.Decreased vision is the main clinical symptom in intraocular infections, while orbital infections often show redness and swelling of eyelid and periocular. The finding of cysticercus and scolex in specimens is one of the confirmed diagnostic bases of ocular cysticercosis and calcareous corpuscles are important pathological diagnostic clues for this disease.
其他期刊
  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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