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Vogt-小柳-原田综合征漏误诊分析
引用本文:王红,杨培增,钟华红,周红颜,李芬芳,傅涛,黄祥坤,钟晖. Vogt-小柳-原田综合征漏误诊分析[J]. 中国实用眼科杂志, 2001, 19(11): 839-841
作者姓名:王红  杨培增  钟华红  周红颜  李芬芳  傅涛  黄祥坤  钟晖
作者单位:中山医科大学中山眼科中心,510060
摘    要:目的:分析我国Vogt-小柳原田(VKH)综合征临床诊断中存在的问题。方法:对1996年1月-2000年12月于中山眼科中心葡萄膜炎专科就诊的,以往资料完整的123例VKH综合征患者的临床资料。特别是漏诊,误诊,发病至确诊时间和以往诊断等进行分析。结果:123例VKH综合征患者的盲目发生率为28.9%,在后葡萄膜炎期,前葡萄膜受累期和以前葡萄膜炎反复发作为特征的全葡萄膜炎期的漏诊,误诊率分别为96.7%,86.2%和74.0%,眼部发病至确诊时间平均为24.5个月。结论:我国VKH综合征患者的漏诊和误诊十分常见,诊断水平亟待提高。

关 键 词:Vogt-小柳原田综合征 诊断 误诊 漏诊 VKH
修稿时间:2001-05-01

Analysis of the misdiagnosis and missed diagnosis of Vogt-Koyanagi-Harada syndrome in China
Wang Hong,Yang Pei-zeng,Zhong Hua-hong Zhongshan Ophthalmic Center,Sun Yat-sen University of Medical Sciences,Guangzhou. Analysis of the misdiagnosis and missed diagnosis of Vogt-Koyanagi-Harada syndrome in China[J]. Chinese Journal of Practical Ophthalmology, 2001, 19(11): 839-841
Authors:Wang Hong  Yang Pei-zeng  Zhong Hua-hong Zhongshan Ophthalmic Center  Sun Yat-sen University of Medical Sciences  Guangzhou
Affiliation:Wang Hong,Yang Pei-zeng,Zhong Hua-hong Zhongshan Ophthalmic Center,Sun Yat-sen University of Medical Sciences,Guangzhou 510060
Abstract:Objective: To investigate the present status in the diagnosis of Vogt-Koyanagi-Harada (VKH) syndrome n China. Methods: Data of 123 patients with VKH syndrome, coming from all over the China and referred to Zhongshan Ophthalmic Center from January 1996 to December 2000, were retrospectively analyzed, especially with respects to the former misdiagnosis or missed diagnosis. Results: Blindness occurred in 28.9% of these investigated patients. Misdiagnosis or missed diagnosis occurred in 96.7%, 86.2% and 74.0% of these patients respectively in posterior uveitis stage, anterior uvea-involved stage and recurrent anterior uveitis stage. The average duration between uveitis onset and the time to make correct diagnosis was 24.5 months. Conclusions: The misdiagnosis of missed diagnosis of VKH syndrome is very common in China. It is absolutely necessary to popularize the knowledge about VKH syndrome among ophthalmologists in China.
Keywords:Vogt-Koyanagi-Harada syndrome   Diagnosis   Misdiagnosis   Missed diagnosis
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