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荧光素流入眼睛的生理侧别差异(作者译)

[Physiological side differences in fluorescein inflow into eyes (author's transl)].

作者信息

Laux U

出版信息

Klin Monbl Augenheilkd. 1980 May;176(5):801-5. doi: 10.1055/s-2008-1057556.

DOI:10.1055/s-2008-1057556
PMID:7442053
Abstract

Rapid-sequence fluorescein angiography was performed simultaneously on both eyes of each of 241 healthy individuals in order to analyze and compare dye inflow patterns in the eyes of each subject. The many uncertainties of successive investigations resulting from uncontrollable changes in systemic circulation parameters between the two angiographies were thus eliminated. In over 90% of the subjects there was no difference between the two eyes in respect of arm-fundus time nor the filling pattern of choroid and retina. A few subjects did show a difference, but this lasted for only one exposure and was normalized on the second exposure of the sequence. It is therefore concluded that side differences of the fluorescein inflow pattern on simultaneous bilateral angiography are highly suggestive of unilateral circulatory disturbances in the cervical, retinal or choroidal vessel. Such disturbances are practically certain if side differences last for more than just one exposure. In contrast, the filling pattern in cilioretinal arteries was very variable and over one third of the subjects presented with side differences between their two eyes. Therefore the filling pattern of these vessels cannot be used for diagnostic purposes.

摘要

对241名健康个体的双眼同时进行快速序列荧光素血管造影,以分析和比较每个受试者双眼的染料流入模式。这样就消除了两次血管造影之间由于体循环参数不可控变化而导致的连续检查的许多不确定性。超过90%的受试者双眼在臂-眼底时间以及脉络膜和视网膜的充盈模式方面没有差异。少数受试者确实表现出差异,但这种差异仅持续一次曝光,并在序列的第二次曝光时恢复正常。因此得出结论,双侧同时血管造影时荧光素流入模式的双侧差异高度提示颈部、视网膜或脉络膜血管存在单侧循环障碍。如果双侧差异持续超过一次曝光,则几乎可以肯定存在这种障碍。相比之下,睫状视网膜动脉的充盈模式变化很大,超过三分之一的受试者双眼存在双侧差异。因此,这些血管的充盈模式不能用于诊断目的。

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