CAJ | 학술논문

目的分析眼内异物的B超诊断图像特征及漏诊情况.方法应用Cine-Scan法国光太AB超声诊断仪对我院126例手术前眼内异物外伤患者进行B超检查,并根据经手术后情况进行分析.结果金属异物占74.6%,非金属异物占25.4%;球内异物占81.8%、眼球壁异物占9.5%和眶内异物占7.1%;漏诊占1.6%.漏诊原因主要是B超未能发现微小异物和临床医生未对有眼内异物征象的外伤患者行B超检查.结论 B超检查对眼内异物具有较高的临床诊断价值.在眼科临床诊疗过程中,对有眼外伤史尤其有眼内异物症状的患者,B超应列为常规检查,以避免漏诊、误诊.
목적 분석안내이물적B초진단도상특정급루진정황.방법 응용Cine-Scan법국광태AB초성진단의대아원126례수술전안내이물외상환자진행B초검사,병근거경수술후정황진행분석.결과 금속이물점74.6%,비금속이물점25.4%;구내이물점81.8%、안구벽이물점9.5%화광내이물점7.1%;루진점1.6%.루진원인주요시B초미능발현미소이물화림상의생미대유안내이물정상적외상환자행B초검사.결론 B초검사대안내이물구유교고적림상진단개치.재안과림상진료과정중,대유안외상사우기유안내이물증상적환자,B초응렬위상규검사,이피면루진、오진.
Objective To evaluate the roles of diagnosing intraocular foreign bodies (IOFB) and missed diagnosis with B-type ultrasound. Methods Retrospective study of 126 clinic inpatient cases. Results The rate of metallic foreign body(MFB) was 74.6%, the rate of intraocular foreign body was 81.8 %, the rate of intraorbital foreign body was 7.1%; The missed diagnosis rate of B-type ultrasound for intraocular foreign bodies was 1.6%, the discovering rates were decreased for anterior segment and retrobulbar intraocular foreign bodies,and the showing rate was high to the vitreous opacity and retinal detachment caused by intraocular foreign bodies. Conclusion Type ultrasound can provide the required information on diagnosis and surgery design of IOFB. Small intraocular metal foreign bodies are easily misdiagnosed and missed diagnosed. Routine examination including B-type ultrasound for patients who had symptoms of intraocular foreign bodies, can obviously reduce the misdiagnosis and missed diagnosis.