CAJ | 학술논문

目的分析老年性白内障患者B超声像图的特征性改变.方法对106例老年性白内障患者的B超声像图资料进行回顾性分析.结果 106例(212眼)患者中,皮质型白内障145眼(68.4%),B超声像图表现为晶状体前后皮质区呈带状或环晕状强回声,核心区域呈梭型低回声;核型白内障48眼(22.6%),表现为晶状体核心区域呈强回声,自中心向皮质逐渐减弱;混合型白内障19眼(9.0%),表现为整个晶状体呈弥漫点团状强回声.结论 B超检测对老年性白内障具有简单易行、无创、诊断符合率高、图像直观等特点,便于疾病的普查以及手术前后的对比观察,值得临床重视及推广应用.
목적 분석노년성백내장환자B초성상도적특정성개변.방법 대106례노년성백내장환자적B초성상도자료진행회고성분석.결과 106례(212안)환자중,피질형백내장145안(68.4%),B초성상도표현위정상체전후피질구정대상혹배훈상강회성,핵심구역정사형저회성;핵형백내장48안(22.6%),표현위정상체핵심구역정강회성,자중심향피질축점감약;혼합형백내장19안(9.0%),표현위정개정상체정미만점단상강회성.결론 B초검측대노년성백내장구유간단역행、무창、진단부합솔고、도상직관등특점,편우질병적보사이급수술전후적대비관찰,치득림상중시급추엄응용.
Objective To analyze characteristic ultrasonographic changes in senile cataract. Methods Ultrasonographic images of 106 senile cataract cases were analyzed by Retrospective analysis. Results The category of senile cataract in 106 cases, cortical cataract 145 eyes (68.4%)and the appearance in ultrasound was ring-halo like or girdle-shaped hyperechoic in lens cortex and spindle-shaped hypoechoic in lens nucleus.Nuclear type cataract 48 eyes(22.6%), B-scan showed hyperechoic in lens nucleus and echo waning from lens nucleus to cortex. Mixed type cataract 19 eyes(9.0%), B-scan showed diffused dotted or clot-like hyperechoic in entire lens. Conclusion B-scan is simple, noninvasive, high diagnostic, and has clear visual images. It is convenient to screen cataract and compare preoperation and post-operation, so it is worthy of attention and application in clinic.