[关键词]
[摘要]
目的：通过分析Vogt-小柳-原田综合征(Vogt-koyanagi-harada syndrome，VKH)的确诊过程，找出临床诊断中存在的问题。
方法：对2005-01/2010-12于我院眼科就诊的、以往资料完整的15例VKH综合征患者的临床资料，通过回顾性资料分析，查找误诊、漏诊的原因。
结果：VKH综合征患者15例的误诊率高达80%。最常误诊为结膜炎、视盘血管炎、黄斑病变、后巩膜炎、青睫综合征、中心性浆液性视网膜炎、角膜炎或笼统诊断为葡萄膜炎。本组15例患者中有5例10眼因未及时准确的治疗导致患者视力低于0.3。
结论：误诊的原因主要与没有详细询问病史、对VKH综合征的临床特征及全身表现缺乏认识。可见，VKH综合征的诊断水平亟待提高。
[Key word]
[Abstract]
AIM: To investigate the causes of diagnostic errors by analyzing the 15 cases of Vogt-koyanagi-harada(VKH)syndrome.
METHODS: Data of 15 cases with VKH syndrome, collected from our out-patient clinic from January 2005 to December 2010, were analyzed retrospectively to find out the causes of diagnostic errors.
RESULTS: The misdiagnosis rate was as high as 80% in 15 cases. The common misdiagnosis was conjunctivitis, papillovasculitis, maculopathy, posterior scleritis, glaucoma-iridocyclitis syndrome, serous retinitis, keratitis, and uveitis. Of 15 cases,visual acuity of 5 cases were lower than 0.3 due to not timely and accurate treatment.
CONCLUSION: The misdiagnosis of VKH syndrome are related mainly with having not acquired medical history in detail, having not recognized the clinical symptom's features and the general manifestation of the VKH syndrome. The diagnostic ability for the VKH syndrome should be improved urgently.
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