CAJ | 학술논문

目的：分析并探讨中心性浆液性脉络膜视网膜病变( central serous chorioretinopathy, CSCR )眼底的影像学特点。 　　方法：选取2008-05/2014-05来我院接受治疗的中心性浆液性脉络膜视网膜病变患者97例121眼。通过不同的方法分析并对比影像学检查特征。 　　结果：≤45岁中心性浆液性脉络膜视网膜病变患者有61例74眼,双眼发病13例,单灶渗漏占48.6%,多灶渗漏占25.7%,不典型渗漏占25.7%。>45岁中心性浆液性脉络膜视网膜病变患者有36例47眼,双眼发病11例,单灶渗漏占8.5%,多灶渗漏占48.9%,不典型渗漏占42.6%。FFA显示急性初发型89眼,慢性迁延型32眼。 OCT检查显示中心性浆液性脉络膜视网膜病变主要特征为神经上皮的脱离以及视网膜色素上皮( RPE)层的改变,后者又分为RPE层脱离93眼(76.9%),以及RPE小隆起和粗糙28眼(23.1%)。患者平均黄斑中心凹经上皮层的厚度为(137.87±19.21)μm,与正常人(137.32±4.98)μm比较无显著差异(t=0.30,P>0.05)。渗漏部位越接近黄斑中心凹,视力越差。 　　结论：运用不同影像学检查对中心性浆液性脉络膜视网膜病变可以显示出不同征象,对临床诊治有不同且互补的作用,但均给予疾病治疗以重要帮助。
목적：분석병탐토중심성장액성맥락막시망막병변( central serous chorioretinopathy, CSCR )안저적영상학특점。 　　방법：선취2008-05/2014-05래아원접수치료적중심성장액성맥락막시망막병변환자97례121안。통과불동적방법분석병대비영상학검사특정。 　　결과：≤45세중심성장액성맥락막시망막병변환자유61례74안,쌍안발병13례,단조삼루점48.6%,다조삼루점25.7%,불전형삼루점25.7%。>45세중심성장액성맥락막시망막병변환자유36례47안,쌍안발병11례,단조삼루점8.5%,다조삼루점48.9%,불전형삼루점42.6%。FFA현시급성초발형89안,만성천연형32안。 OCT검사현시중심성장액성맥락막시망막병변주요특정위신경상피적탈리이급시망막색소상피( RPE)층적개변,후자우분위RPE층탈리93안(76.9%),이급RPE소륭기화조조28안(23.1%)。환자평균황반중심요경상피층적후도위(137.87±19.21)μm,여정상인(137.32±4.98)μm비교무현저차이(t=0.30,P>0.05)。삼루부위월접근황반중심요,시력월차。 　　결론：운용불동영상학검사대중심성장액성맥락막시망막병변가이현시출불동정상,대림상진치유불동차호보적작용,단균급여질병치료이중요방조。
AIM: To explore and analyze the image features, diagnosis and treatment of the central serous chorioretinopathy ( CSCR) fundus. METHODS:From May 2008 to May 2014, 97 cases of 121 eyes with central serous chorioretinopathy were treated in in our hospital. The imaging features were compared and analyzed through different methods. RESULTS:Sixty-one cases (61 eyes) were ≤45 years, including 13 case with disease in both eyes, single stove leak accounted for 48. 6%, multifocal leakage (25. 7%), atypical leakage accounted for 25. 7%. Thirty-six cases (47 eyes) were >45 years, 11 cases with disease in both eyes, single focal leakage ( 8. 5%), multifocal leakage (48. 9%), atypical leakage accounted for 42. 6%. FFA results showed acute hairstyle at the beginning of 89 eyes, chronic deferment type 32 eyes. OCT examination showed that the main features were neuroepithelial detachment, as well as the change of the retinal pigment epithelium ( RPE) layer, which was divided into RPE layer detachment 93 eyes, accounting for 76. 9%, rough and RPE little ridges in 28 cases, accounting for 23. 1%. The average thickness of macular center concave on the cortex of microns was 137. 87 ± 19. 21μm, and there was no significant difference conpared with normal ( 137. 32 ±4.98μm) microns (t=0. 30, P>0. 05). The closer leakage area to macular fovea, the worse of eyesight. . CONCLUSION: Different imaging examination on central serous chorioretinopathy can show different features. For clinical diagnosis and treatment it had different and complementary roles, but were given significant help for diseases treatment.