国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
4期
621-624
,共4页
张玉明%王芳芳%黄海%丁芝祥%曾新生%彭燕一
張玉明%王芳芳%黃海%丁芝祥%曾新生%彭燕一
장옥명%왕방방%황해%정지상%증신생%팽연일
视网膜神经纤维层%光学相干断层扫描%13~18岁正常参考值
視網膜神經纖維層%光學相榦斷層掃描%13~18歲正常參攷值
시망막신경섬유층%광학상간단층소묘%13~18세정상삼고치
retinal nerve fiber layer%optical coherence tomography%normative data base of 13-18 years old
目的:建立13~18岁国人正常眼经光学相干断层扫描( OCT)检测的视盘周围视网膜神经纤维层厚度( RNFLT)参考值范围;研究RNFLT各相关参数与性别、年龄、眼别、民族的关系。<br> 方法:应用OCT对13~18岁正常国人201例402眼正常眼,采用视网膜神经纤维层( RNFL )平均厚度分析程序,测量视盘为中心直径3.4 mm的全周平均以及不同象限和不同钟点位的RNFLT。所得资料应用SPSS 19.0软件进行统计学处理,分析年龄、眼别、性别、民族等多个因素对RNFLT的影响。<br> 结果:13,14,15,16,17,18岁各年龄段受检者的全周平均RNFLT分别为108.32±9.42,109.23±9.67,110.36±11.14,111.27±10.21,109.23±9.67,112.11±8.83μm,13~18右眼全周平均RNFLT为109.82±8.93μm,左眼全周平均RNFLT为110.33±9.89μm。13~18岁男性受检者的全周平均RNFLT为110.14±10.02μm,女性受检者的全周平均RNFLT为109.96±11.22μm;13~18汉族受检者的全周平均RNFLT为110.22±9.31μm,非汉族受检者的全周平均RNFLT为109.87±8.65μm。所有检查者的全周平均RNFLT为110.02±9.87μm,上方、鼻侧、下方和颞侧的RNFLT分别为146.56±18.88,76.49±13.28,136.64±16.29,82.01±12.55μm。13~18岁各年龄组之间的RNFLT组间比较,以及男/女比较、左/右眼比较、汉族/非汉族比较无统计学意义( P均>0.05);全周RNFLT与数据库中的成人RNFLT平均值比较,有统计学意义( P<0.05)。男/女的左右眼比较,右眼1∶00及左眼的1∶00,2∶00,3∶00之间的RNFLT比较有统计学意义( P<0.05),左眼上方象限RNFLT的比较有统计学意义( P<0.05)。<br> 结论:本研究建立了13~18岁正常国人RNFLT和相关参数的正常参考值,年龄、眼别、性别、民族对该年龄段RNFL平均厚度无明显影响。检查结果与成人测量值有明显差异,涉及RNFL改变的疾病诊断和随诊时不应使用成人标准。
目的:建立13~18歲國人正常眼經光學相榦斷層掃描( OCT)檢測的視盤週圍視網膜神經纖維層厚度( RNFLT)參攷值範圍;研究RNFLT各相關參數與性彆、年齡、眼彆、民族的關繫。<br> 方法:應用OCT對13~18歲正常國人201例402眼正常眼,採用視網膜神經纖維層( RNFL )平均厚度分析程序,測量視盤為中心直徑3.4 mm的全週平均以及不同象限和不同鐘點位的RNFLT。所得資料應用SPSS 19.0軟件進行統計學處理,分析年齡、眼彆、性彆、民族等多箇因素對RNFLT的影響。<br> 結果:13,14,15,16,17,18歲各年齡段受檢者的全週平均RNFLT分彆為108.32±9.42,109.23±9.67,110.36±11.14,111.27±10.21,109.23±9.67,112.11±8.83μm,13~18右眼全週平均RNFLT為109.82±8.93μm,左眼全週平均RNFLT為110.33±9.89μm。13~18歲男性受檢者的全週平均RNFLT為110.14±10.02μm,女性受檢者的全週平均RNFLT為109.96±11.22μm;13~18漢族受檢者的全週平均RNFLT為110.22±9.31μm,非漢族受檢者的全週平均RNFLT為109.87±8.65μm。所有檢查者的全週平均RNFLT為110.02±9.87μm,上方、鼻側、下方和顳側的RNFLT分彆為146.56±18.88,76.49±13.28,136.64±16.29,82.01±12.55μm。13~18歲各年齡組之間的RNFLT組間比較,以及男/女比較、左/右眼比較、漢族/非漢族比較無統計學意義( P均>0.05);全週RNFLT與數據庫中的成人RNFLT平均值比較,有統計學意義( P<0.05)。男/女的左右眼比較,右眼1∶00及左眼的1∶00,2∶00,3∶00之間的RNFLT比較有統計學意義( P<0.05),左眼上方象限RNFLT的比較有統計學意義( P<0.05)。<br> 結論:本研究建立瞭13~18歲正常國人RNFLT和相關參數的正常參攷值,年齡、眼彆、性彆、民族對該年齡段RNFL平均厚度無明顯影響。檢查結果與成人測量值有明顯差異,涉及RNFL改變的疾病診斷和隨診時不應使用成人標準。
목적:건립13~18세국인정상안경광학상간단층소묘( OCT)검측적시반주위시망막신경섬유층후도( RNFLT)삼고치범위;연구RNFLT각상관삼수여성별、년령、안별、민족적관계。<br> 방법:응용OCT대13~18세정상국인201례402안정상안,채용시망막신경섬유층( RNFL )평균후도분석정서,측량시반위중심직경3.4 mm적전주평균이급불동상한화불동종점위적RNFLT。소득자료응용SPSS 19.0연건진행통계학처리,분석년령、안별、성별、민족등다개인소대RNFLT적영향。<br> 결과:13,14,15,16,17,18세각년령단수검자적전주평균RNFLT분별위108.32±9.42,109.23±9.67,110.36±11.14,111.27±10.21,109.23±9.67,112.11±8.83μm,13~18우안전주평균RNFLT위109.82±8.93μm,좌안전주평균RNFLT위110.33±9.89μm。13~18세남성수검자적전주평균RNFLT위110.14±10.02μm,녀성수검자적전주평균RNFLT위109.96±11.22μm;13~18한족수검자적전주평균RNFLT위110.22±9.31μm,비한족수검자적전주평균RNFLT위109.87±8.65μm。소유검사자적전주평균RNFLT위110.02±9.87μm,상방、비측、하방화섭측적RNFLT분별위146.56±18.88,76.49±13.28,136.64±16.29,82.01±12.55μm。13~18세각년령조지간적RNFLT조간비교,이급남/녀비교、좌/우안비교、한족/비한족비교무통계학의의( P균>0.05);전주RNFLT여수거고중적성인RNFLT평균치비교,유통계학의의( P<0.05)。남/녀적좌우안비교,우안1∶00급좌안적1∶00,2∶00,3∶00지간적RNFLT비교유통계학의의( P<0.05),좌안상방상한RNFLT적비교유통계학의의( P<0.05)。<br> 결론:본연구건립료13~18세정상국인RNFLT화상관삼수적정상삼고치,년령、안별、성별、민족대해년령단RNFL평균후도무명현영향。검사결과여성인측량치유명현차이,섭급RNFL개변적질병진단화수진시불응사용성인표준。
AIM: To establish a reference range of retinal nerve fiber layer ( RNFL ) thickness by optical coherence tomography ( OCT) in Chinese teenagers aged from 13 to 18 years old, and investigate its relationship with age, eye side, gender, and ethnic group. <br> METHODS:A total of 402 eyes from 201 normal Chinese aged from 13 to 18 years old were recruited for this study. Optic disk with 3.4mm diameter circle in different global average, quadrant and part-time bit retinal nerve fiber layer thickness ( RNFLT) was measured by RNFL thickness average analysis program.Their RNFLT at different part-time bit, quadrant and global average RNFLT around the disc were measured by OCT with 3.4mm diameter circle, using the RNFL thickness average analysis program.The data was analyzed with SPSS statistical 19.0. The influences of several factors ( such as age, eye side, gender, and ethnic group) on RNFLT were also analyzed. <br> RESULTS:The global average RNFLT at 13, 14, 15, 16, 17, 18 years old was 108.32 ±9.42μm, 109.23 ±9.67μm, 110.36 ±11.14μm, 111.27 ±10.21μm, 109.23 ±9.67μm, 112.11 ±8.83μm respectively.RNFLT of right eyes was 109.82±8.93μm and of left eyes was 110.33 ±9.89μm.All of the male's average RNFLT was 110.14 ±10.02μm, and all of the female's average RNFLT was 109.96 ±11.22μm. The average RNFLT of Han nationality was 110.22±9.31μm and of non-Han nationality was 109.87 ±8.65μm.The average RNFLT of all was 110.02 ±9.87μm, the RNFLT at the superior, nasal, inferior and temporal quadrant was 146.56 ±18.88μm, 76.49 ±13.28μm, 136.64 ±16.29μm, 82.01 ±12.55μm respectively. There was no significant difference in gender, eye side, and ethnic group ( all P<0.05), but the difference was significant compared with adult's data of the database. <br> CONCLUSION: This study has established a normal standard reference of RNFLT and its related indexes by OCT in Chinese teenagers aged 13-18 years old.Gender, age, eye side, and ethnic group have no effect on their RNFLT, which has significant difference with adult's data. And for the diagnosis and follow-up of diseases involving in RNFL changes, the adult's data can not be used.