中华生物医学工程杂志
中華生物醫學工程雜誌
중화생물의학공정잡지
CHINESE JOURNAL OF BIOMEDICAL ENGINEERING
2010年
1期
15-19
,共5页
李媚%杨晔%蔡小于%曾阳发%曹丹%刘杏
李媚%楊曄%蔡小于%曾暘髮%曹丹%劉杏
리미%양엽%채소우%증양발%조단%류행
眼前段光学相干断层扫描仪%超声生物显微镜%前房深度%青光眼%诊断技术,眼科
眼前段光學相榦斷層掃描儀%超聲生物顯微鏡%前房深度%青光眼%診斷技術,眼科
안전단광학상간단층소묘의%초성생물현미경%전방심도%청광안%진단기술,안과
Anterior segment optical coherence tomography%Ultrasound biomicroscope%Anterior chamber depth%Glaucoma%Diagnostic techniques,ophthalmological
目的 比较眼前段光学相干断层扫描仪(AS-OCT)与超声生物显微镜(UBM)测量中央前房深度(ACD)的差异和两者的可重复性.方法 分别用AS-OCT和UBM测量急性原发性闭角型青光眼(APACG)患者29例55眼(发作眼32眼,未发作眼23眼),慢性原发性闭角型青光眼(CPACG)患者4l例74眼的ACD.采用配对t检验进行不同仪器ACD测量值比较;相关分析法分析两种仪器测量值之间的相关性.完全随机法选择1只眼分别用AS-OCT和UBM依次重复测量ACD 10次,比较测量的可重复性.结果 APACG发作眼用AS-OCT测量的ACD值与UBM的测量值之间差异无统计学意义.APACG对侧眼、CPACG眼的AS-OCT测量值比UBM测量值大[(1.923+0.287)mm比(1.860±0.243)mm,(2.017±0.054)mm比(1.913±0.052)mm,均P=0.012].AS-OCT和UBM的ACD测量值呈正相关(r=0.928,P<0.001).AS-OCT与UBM测量ACD的变异系数分别为0.66%和0.82%.结论 AS-OCT比UBM测量的ACD值大,两种仪器测量值相关性良好.AA-OCT的可重复性优于UBM.
目的 比較眼前段光學相榦斷層掃描儀(AS-OCT)與超聲生物顯微鏡(UBM)測量中央前房深度(ACD)的差異和兩者的可重複性.方法 分彆用AS-OCT和UBM測量急性原髮性閉角型青光眼(APACG)患者29例55眼(髮作眼32眼,未髮作眼23眼),慢性原髮性閉角型青光眼(CPACG)患者4l例74眼的ACD.採用配對t檢驗進行不同儀器ACD測量值比較;相關分析法分析兩種儀器測量值之間的相關性.完全隨機法選擇1隻眼分彆用AS-OCT和UBM依次重複測量ACD 10次,比較測量的可重複性.結果 APACG髮作眼用AS-OCT測量的ACD值與UBM的測量值之間差異無統計學意義.APACG對側眼、CPACG眼的AS-OCT測量值比UBM測量值大[(1.923+0.287)mm比(1.860±0.243)mm,(2.017±0.054)mm比(1.913±0.052)mm,均P=0.012].AS-OCT和UBM的ACD測量值呈正相關(r=0.928,P<0.001).AS-OCT與UBM測量ACD的變異繫數分彆為0.66%和0.82%.結論 AS-OCT比UBM測量的ACD值大,兩種儀器測量值相關性良好.AA-OCT的可重複性優于UBM.
목적 비교안전단광학상간단층소묘의(AS-OCT)여초성생물현미경(UBM)측량중앙전방심도(ACD)적차이화량자적가중복성.방법 분별용AS-OCT화UBM측량급성원발성폐각형청광안(APACG)환자29례55안(발작안32안,미발작안23안),만성원발성폐각형청광안(CPACG)환자4l례74안적ACD.채용배대t검험진행불동의기ACD측량치비교;상관분석법분석량충의기측량치지간적상관성.완전수궤법선택1지안분별용AS-OCT화UBM의차중복측량ACD 10차,비교측량적가중복성.결과 APACG발작안용AS-OCT측량적ACD치여UBM적측량치지간차이무통계학의의.APACG대측안、CPACG안적AS-OCT측량치비UBM측량치대[(1.923+0.287)mm비(1.860±0.243)mm,(2.017±0.054)mm비(1.913±0.052)mm,균P=0.012].AS-OCT화UBM적ACD측량치정정상관(r=0.928,P<0.001).AS-OCT여UBM측량ACD적변이계수분별위0.66%화0.82%.결론 AS-OCT비UBM측량적ACD치대,량충의기측량치상관성량호.AA-OCT적가중복성우우UBM.
Objective To compare the difference and repeatability between anterior segment optical coherence tomography (AS-OCT) and ultrasound biomicroscope (UBM) in measuring central anterior chamber depth (ACD). Methods Twenty-nine patients (32 attacked eyes and 23 unaffected fellow eyes) with acute primary angle closure glaucoma (APACG) and 41 patients (74 eyes) with chronic primary angle closure glaucoma (CPACG) were included in this study. AS-OCT and UBM were used to measure the ACD of these APACG and CPACG subjects. Pair sample t test and correlation analysis were introduced to analyze the difference and correlation of the ACD values between the 2 instruments. ACD of one complete randomly selected eye was measured 10 times by the above 2 instruments, respectively, and the repeatability of 2 instruments was analyzed. Results There was no significant difference in ACD values of attacked eyes of APACG between AS-OCT and UBM. In unaffected fellow eyes and CPACG eyes, the ACD values measured by AS-OCT were deeper than that measured by UBM[ (1.923±0.287) mm vs (1.860±0.243) mm, (2.017±0.054) mm vs (1.913±0.052) mm, both P=0.012]. Positive correlation between AS-OCT and UBM in measuring ACD was found (r=0.928, P<0.001). The coefficient of variation of ACD was 0.66% as measured by AS-OCT, and 0.82% as by UBM. Conclusions The ACD measured by AS-OCT can be deeper than that by UBM. Excellent correlation is found between AS-OCT and UBM measurements. AS-OCT appears to be more repeatable in measuring ACD than UBM.