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报告Coats氏病18例的临床病理观察结果,男13例,女5例,年龄为1～18岁,10岁前发病者男性明显多于女性,随年龄增长,性别性差异逐渐缩小.晚期病例眼底多见视网膜隆起,表面有出血和血管改变.病理学改变主要是视网膜脱离,网膜下液中有泡沫细胞和胆固醇结晶,视网膜除外层血管扩张充血和管壁厚薄不均及结缔组织增生外,有的病例网膜外层还有钙化及骨化.并提出视网膜下液细胞学检查和荧光眼底血管造影为此病与视网膜母细胞瘤鉴别诊断的可靠方法,而不能以X线片出现钙化点为两者的鉴别条件.
Report of 18 cases of Coats’s clinical and pathological findings, 13 males and 5 females, aged from 1 to 18 years old, before the onset of 10 males were significantly more than women, with age, gender differences gradually reduced. More fundus retinal uplift, surface bleeding and vascular changes.Pathological changes are mainly retinal detachment, subretinal fluid in the foam cells and cholesterol crystallization, retinal blood vessels in addition to expansion and congestion of vascular wall thickness and uneven thickness of connective tissue hyperplasia , There are cases of calcification and ossification of the outer layer of the omentum and proposed subretinal cytology and fluorescence fundus angiography as a reliable method of differential diagnosis of retinoblastoma and the disease, and can not appear calcification X-ray Point for the two conditions of identification.