中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
8期
802-805
,共4页
赵柳宁%邓娟%王忠浩%蔡小于%张秀兰
趙柳寧%鄧娟%王忠浩%蔡小于%張秀蘭
조류저%산연%왕충호%채소우%장수란
青光眼%房角镜%超声生物显微镜(UBM)
青光眼%房角鏡%超聲生物顯微鏡(UBM)
청광안%방각경%초성생물현미경(UBM)
Glaucoma%Gonioscopy%Ultrasound biomicroscopy (UBM) [Key words] Vitrectomy ICare%Rebound tonometer%Tonometry%Gas-filled eye%Silicone oil eye
目的 评价超声生物显微镜(UBM)和裂隙灯显微房角镜(房角镜)对原发性闭角型青光眼房角检查结果 的一致性.方法 采用双盲法随机对一组原发性闭角型青光眼患者的前房角分别进行UBM和房角镜检查,收集房角镜下Scheie分级为NⅢ和NⅣ的患眼共102只眼(55例),将其房角镜检查结果 与UBM检查结果 进行等级相关统计学分析,并建立UBM和房角镜检查结果 的判别分析.结果 两者的检查结果 在上方、鼻侧、下方及颞侧四个方位的检查结果 中,鼻侧检查结果 的一致性最好(r8=.694,P＜0.01),其次为上方(r8=0.545,P＜0.01),颞侧(r8=0.426,P＜0.01),下方的检查结果 一致性最差(r8=0.357,P＜0.01).建立房角镜与UBM两者的判别分析结果 显示,鼻侧、上方、颞侧及下方的回代判别总判别符合率分别为86.3%、81.4%、74.5%及52.9%,交互验证符合率分别86.3%、81.4%、74.5%及52.9%.结论 在窄房角的情况下,UBM和房角镜检查的结果 在不同方位一致性程度不同.
目的 評價超聲生物顯微鏡(UBM)和裂隙燈顯微房角鏡(房角鏡)對原髮性閉角型青光眼房角檢查結果 的一緻性.方法 採用雙盲法隨機對一組原髮性閉角型青光眼患者的前房角分彆進行UBM和房角鏡檢查,收集房角鏡下Scheie分級為NⅢ和NⅣ的患眼共102隻眼(55例),將其房角鏡檢查結果 與UBM檢查結果 進行等級相關統計學分析,併建立UBM和房角鏡檢查結果 的判彆分析.結果 兩者的檢查結果 在上方、鼻側、下方及顳側四箇方位的檢查結果 中,鼻側檢查結果 的一緻性最好(r8=.694,P＜0.01),其次為上方(r8=0.545,P＜0.01),顳側(r8=0.426,P＜0.01),下方的檢查結果 一緻性最差(r8=0.357,P＜0.01).建立房角鏡與UBM兩者的判彆分析結果 顯示,鼻側、上方、顳側及下方的迴代判彆總判彆符閤率分彆為86.3%、81.4%、74.5%及52.9%,交互驗證符閤率分彆86.3%、81.4%、74.5%及52.9%.結論 在窄房角的情況下,UBM和房角鏡檢查的結果 在不同方位一緻性程度不同.
목적 평개초성생물현미경(UBM)화렬극등현미방각경(방각경)대원발성폐각형청광안방각검사결과 적일치성.방법 채용쌍맹법수궤대일조원발성폐각형청광안환자적전방각분별진행UBM화방각경검사,수집방각경하Scheie분급위NⅢ화NⅣ적환안공102지안(55례),장기방각경검사결과 여UBM검사결과 진행등급상관통계학분석,병건립UBM화방각경검사결과 적판별분석.결과 량자적검사결과 재상방、비측、하방급섭측사개방위적검사결과 중,비측검사결과 적일치성최호(r8=.694,P＜0.01),기차위상방(r8=0.545,P＜0.01),섭측(r8=0.426,P＜0.01),하방적검사결과 일치성최차(r8=0.357,P＜0.01).건립방각경여UBM량자적판별분석결과 현시,비측、상방、섭측급하방적회대판별총판별부합솔분별위86.3%、81.4%、74.5%급52.9%,교호험증부합솔분별86.3%、81.4%、74.5%급52.9%.결론 재착방각적정황하,UBM화방각경검사적결과 재불동방위일치성정도불동.
Objective To assess the consistency of results between ultrasound biomcrioscopy (UBIM) and gonioscopy for narrow angle on primary angle-closure glaucoma. Methods UBM and gonioscopy were applied to exam anterior chamber angle on primary angle-closure glaucoma by randomized double-blind method. 102 eyes (55 cases) with Scheie classification NⅢ and NⅣ, were collected and compared the results of UBM. The data were analyzed by Spearman correlation test and discriminant analysis. Results The results of UBM and gonioscopy on narrow anterior chamber angel were well consistency with nasal (rs=0.694, P ＜0.01), followed by the superior (rs=.545, P ＜0.01), temporal (rs=0.426, P ＜0.01), respectively, but consistency were not good with inferior (rs=0.357, P ＜0.01), gonioscopy and UBM discriminant analysis showed that nasal, superior, temporal and inferior the generation of discriminant total different compliance rates were 86.3%, 81.4%, 74.5% and 52.9%, consistent with validation were 86.3%, 81.4%, 74.5% and 52.g%. Conclusions The consistency of results be tween UBM and gonioscopy for narrow anterior chamber angles are different in different direction.
