CAJ | 학술논문

目的：利用动物实验探讨超声引导下眼眶内异物定位与治疗用于临床的可行性。方法制作兔眼眶内金属异物模型，采用超声对眼眶异物进行检查，在超声引导下穿刺定位异物和用探针拨动异物，观察异物能被拨动确定异物在眼球壁外。并采用超声引导进行临床眼眶异物的穿刺定位诊治。结果11只兔（11眼）超声检查发现近眼球壁异物6眼，一般眼眶异物3眼，未检出眼眶异物2眼，与实际相符。其中近眼球壁异物6眼在超声引导下眼眶异物全被探及并被拨动，确定异物在眼球壁外。临床成功采用超声定位眼眶异物并取出。结论在眼眶内异物穿刺定位时使用超声检测能简便准确地判定异物与眼球壁的位置关系，临床应用效果良好。
목적：이용동물실험탐토초성인도하안광내이물정위여치료용우림상적가행성。방법제작토안광내금속이물모형，채용초성대안광이물진행검사，재초성인도하천자정위이물화용탐침발동이물，관찰이물능피발동학정이물재안구벽외。병채용초성인도진행림상안광이물적천자정위진치。결과11지토（11안）초성검사발현근안구벽이물6안，일반안광이물3안，미검출안광이물2안，여실제상부。기중근안구벽이물6안재초성인도하안광이물전피탐급병피발동，학정이물재안구벽외。림상성공채용초성정위안광이물병취출。결론재안광내이물천자정위시사용초성검측능간편준학지판정이물여안구벽적위치관계，림상응용효과량호。
Objective The puncture location guided by ultrasound in animal's intraorbital foreign body,and applied to the clinical feasibility. Methods Metallic foreign bodies were placed in rabbits' orbits, and were puncture located by ultrasound. Results Foreign bodies scanned in 9 eyes of 11 rabbits ,same as the actual.Intraorbital foreign bodies of 6 eyes among these 9 eyes, which beside the eyebal wall, puncture located and moved by guiding of ultrasound. Intraorbital foreign body of typical case, which beside the eyebal wal , puncture located by guiding of ultrasound successful y. Conclusion The puncture location guided by ultrasound can be used in differentiation of intraorbital foreign bodies.