中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
6期
736-737
,共2页
视网膜脱离%眼损伤,穿透性%玻璃体%脉络膜
視網膜脫離%眼損傷,穿透性%玻璃體%脈絡膜
시망막탈리%안손상,천투성%파리체%맥락막
Retinal detachment%Eye injuries,penetrating%Vitreous body%Choroid
目的 探讨彩色多普勒超声对外伤性视网膜脱离的诊断价值.方法 收集经眼B型超声和手术证实的外伤性视网膜脱离患者30例(30只眼),运用彩色多普勒超声观察眼外伤后玻璃体内声像图特征及血流情况.结果 部分性脱离18例,完全性脱离9例,陈旧性脱离2例,合并脉络膜脱离的视网膜脱离1例;30例中,视力大于0.1者7只眼(23.3%)、0.01～0.1者10只眼(33.3%)、数指4只眼(13.3%)、手动5只眼(16.6%)、无光感4只眼(13.3%);视力治疗后较治疗前有明显的提高(χ2=7.394,P=0.015);手术后12眼(40.0%)为低眼压,视网膜下出血4眼(33.3%),浆液性脉络膜脱离4眼(33.3%),出血性脉络膜脱离4眼(33.3%);三组患眼的低眼压发生率差异无统计学意义(χ2=3.004,P=0.243).结论 彩色多普勒超声检查外伤性视网膜脱离准确、可靠,对临床治疗及预后判断具有重要的意义.
目的 探討綵色多普勒超聲對外傷性視網膜脫離的診斷價值.方法 收集經眼B型超聲和手術證實的外傷性視網膜脫離患者30例(30隻眼),運用綵色多普勒超聲觀察眼外傷後玻璃體內聲像圖特徵及血流情況.結果 部分性脫離18例,完全性脫離9例,陳舊性脫離2例,閤併脈絡膜脫離的視網膜脫離1例;30例中,視力大于0.1者7隻眼(23.3%)、0.01～0.1者10隻眼(33.3%)、數指4隻眼(13.3%)、手動5隻眼(16.6%)、無光感4隻眼(13.3%);視力治療後較治療前有明顯的提高(χ2=7.394,P=0.015);手術後12眼(40.0%)為低眼壓,視網膜下齣血4眼(33.3%),漿液性脈絡膜脫離4眼(33.3%),齣血性脈絡膜脫離4眼(33.3%);三組患眼的低眼壓髮生率差異無統計學意義(χ2=3.004,P=0.243).結論 綵色多普勒超聲檢查外傷性視網膜脫離準確、可靠,對臨床治療及預後判斷具有重要的意義.
목적 탐토채색다보륵초성대외상성시망막탈리적진단개치.방법 수집경안B형초성화수술증실적외상성시망막탈리환자30례(30지안),운용채색다보륵초성관찰안외상후파리체내성상도특정급혈류정황.결과 부분성탈리18례,완전성탈리9례,진구성탈리2례,합병맥락막탈리적시망막탈리1례;30례중,시력대우0.1자7지안(23.3%)、0.01～0.1자10지안(33.3%)、수지4지안(13.3%)、수동5지안(16.6%)、무광감4지안(13.3%);시력치료후교치료전유명현적제고(χ2=7.394,P=0.015);수술후12안(40.0%)위저안압,시망막하출혈4안(33.3%),장액성맥락막탈리4안(33.3%),출혈성맥락막탈리4안(33.3%);삼조환안적저안압발생솔차이무통계학의의(χ2=3.004,P=0.243).결론 채색다보륵초성검사외상성시망막탈리준학、가고,대림상치료급예후판단구유중요적의의.
Objective To research the diagnosis value in color Doppler ultrasound on traumatic retinal detachment. Methods 30 cases(30 eyes)with traumatic retinal detachment were confirmed by B-mode ultrasonography and surgery. The characteristics and blood flow were observed by color Doppler ultrasound. Results 30 cases, among partial detachment in 18 cases, completely detachment in 9 cases, old detachment in 2 cases, and completed with detachment of choroids in 1 case;30 cases, greater than 0.1 in 7 eyes ( 23.3% ), 0. 01 ～0. 1 in 10 eyes (33.3%),counting fingers in 4 eyes( 13.3% ) ,manual in 5 eyes ( 16.6% ) ,no light perception in 4 eyes( 13.3% ); The visual acuity in patients after treatment had significantly increased compared with before treatment( χ2 =7. 394 ,P =0. 015 );The lower intraocular pressure of retinal hemorrhage, serous choroidaland hemorrhagic choroidal had no significant difference[4 eye(33. 3% ) ,4 eye(33. 3% ) ,4 eye(33.3% ) ,respectively] (χ2 =3. 004,P=0. 343). Conclusion The color doppler ultrasound diagnosis in traumatic retinal detachment, with its capacity of early finding and accurate and reliable, have significant meaning to clinical treatment and prognosis.
