CAJ | 학술논문

目的探讨窄房角患者合并虹膜睫状体囊肿的解剖因素.方法回顾性病例系列研究.收集223例(402只眼)窄房角患者的超声活体显微镜(UBM)检查资料,进行问顾性分析.所有窄房角患者就诊时眼部常规检查均未发现虹膜睫状体囊肿体征,但眼部UBM检查显示有19例(23只眼)合并存在虹膜睫状体囊肿.根据UBM图像显示的囊肿部位、大小、数量,分析窄房角合并虹膜睫状体囊肿与未合并虹膜睫状体囊肿患者间年龄、中央前房深度、前房角等解剖特征差异.年龄、中央前房深度比较采片用独立样本t检验,前房角比较采用独立样本秩和检验.结果 223例(402只眼)窄房角患者中,UBM检查发现19例(23只眼)合并虹膜睫状体囊肿,UBM检测阳性率为5.7％.其中单眼囊肿15例,双眼囊肿4例；囊肿位于睫状突部2只眼(8.7％),虹膜根部18只眼(78.3％),同时位于虹膜根部及虹膜后表面3只眼(13.0％)；单发性囊肿21只眼(91.3％),多发性囊肿2只眼(8.7％);囊肿直径0.5～3.1 mm,平均(0.71±0.53) mm.窄房角合并虹膜睫状体囊肿患者平均年龄(55.32±10.74)岁,中央前房深度(2.25±0.39) mm;未合并虹膜睫状体囊肿患者年龄(57.46±10.52)岁,中央前房深度(2.14±0.34) mm,两者差异无统计学意义(t=0.534,0.783;P＞0.05).合并虹膜睫状体囊肿患者前房角开放度中位数(最大值,最小值)为8.2°(21.0°,0.0°),未合并虮膜睫状体囊肿患者前房角开放度中位数(最大值,最小值)为8.9°(21.4°,0.0°),两者差异无统计学意义(Z=-0.062,P＞0.05).结论窄房角患者的中央前房深度及前房角开放度并非发生虹膜睫状体囊肿的解剖因素.
목적 탐토착방각환자합병홍막첩상체낭종적해부인소.방법 회고성병례계렬연구.수집223례(402지안)착방각환자적초성활체현미경(UBM)검사자료,진행문고성분석.소유착방각환자취진시안부상규검사균미발현홍막첩상체낭종체정,단안부UBM검사현시유19례(23지안)합병존재홍막첩상체낭종.근거UBM도상현시적낭종부위、대소、수량,분석착방각합병홍막첩상체낭종여미합병홍막첩상체낭종환자간년령、중앙전방심도、전방각등해부특정차이.년령、중앙전방심도비교채편용독립양본t검험,전방각비교채용독립양본질화검험.결과 223례(402지안)착방각환자중,UBM검사발현19례(23지안)합병홍막첩상체낭종,UBM검측양성솔위5.7％.기중단안낭종15례,쌍안낭종4례；낭종위우첩상돌부2지안(8.7％),홍막근부18지안(78.3％),동시위우홍막근부급홍막후표면3지안(13.0％)；단발성낭종21지안(91.3％),다발성낭종2지안(8.7％);낭종직경0.5～3.1 mm,평균(0.71±0.53) mm.착방각합병홍막첩상체낭종환자평균년령(55.32±10.74)세,중앙전방심도(2.25±0.39) mm;미합병홍막첩상체낭종환자년령(57.46±10.52)세,중앙전방심도(2.14±0.34) mm,량자차이무통계학의의(t=0.534,0.783;P＞0.05).합병홍막첩상체낭종환자전방각개방도중위수(최대치,최소치)위8.2°(21.0°,0.0°),미합병기막첩상체낭종환자전방각개방도중위수(최대치,최소치)위8.9°(21.4°,0.0°),량자차이무통계학의의(Z=-0.062,P＞0.05).결론 착방각환자적중앙전방심도급전방각개방도병비발생홍막첩상체낭종적해부인소.
Objective To investigate the prevalence and anatomy features of iridociliary body cysts in patients with narrow anterior chamber angle.Methods Retrospective case series study.The prevalence and anatomy features of iridociliarybody cysts in 223 patients (402 eyes) were analyzed retrospectively with ultrasound biomicroscopy ( UBM ).All of the patients were examined for susceptive narrow anterior chamber angle without complaint. The age of the patients,the site,diameter and number of cysts,the anterior chamber angle and the central anterior chamber depth were measured.Results Iridociliary body cysts were found in 19 patients (23 eyes) out of 223 patients (402 eyes),the prevalence is 5.7％.Fifteen patients were unilateral and four patients bilateral.Two eases originated from the ciliary process,eighteen cases from the iris root,and three from both the root and posterior surface of the iris.Twenty one cases were single cysts while two cases were multiple cysts. The diameter of the cysts ranged from 0.5 to 3.1 mm,averaged (0.71 ± 0.53 ) mm.The average age and the central anterior chamber depth of the eyes with iridociliary body cysts were( 55.32 ± 10.74 ) years and( 2.25 ± 0.39 ) mm,with no significant difference ( t =0.534,0.783 ;P＞0.05 )as compared to that of patients without cysts,which were (57.46 ± 10.52 )years and (2.14 ±0.34) mm.The anterior chamber angle in iridociliary body cysts group was 8.2° ( 21.0°,0.0° ),with no significant difference ( Z =- 0.062,P ＞ 0.05 ) as compared to that of patients without cysts,which was 8.9°(21.4°,0.0° ).Conclusions The prevalence rate of iridociliary body cysts in this study is 5.7％,central anterior chamber depth and anterior chamber angle in patients with cysts do not differ form patients without cysts.