中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
7期
55-57,58
,共4页
局部脉络膜陷凹%体层摄影术,光学相干%诊断显像
跼部脈絡膜陷凹%體層攝影術,光學相榦%診斷顯像
국부맥락막함요%체층섭영술,광학상간%진단현상
Focal choroidal excavation%Tomography%Optical coherence%Diagnostic imaging
目的：分析局部脉络膜陷凹光相干断层扫描（OCT）扫描图像特点。方法使用海德堡视网膜断层扫描仪（HRTΠ）回顾性分析局部脉络膜陷凹患者17例18眼21处病灶，研究患者的年龄、性别、眼别、屈光状态及伴发疾病情况，分析病灶的位置、大小、分型、形态IS/OS反光带完整性以及伴发疾病情况。结果患者年龄16~64岁，平均（38.3±11.5）岁；男性5例（5眼），女性12例（13眼）；屈光状态+1.33~-8.36D，平均（-3.27±2.92）D；双眼发病1例（5.88%）；多灶性发病2例（11.11%）；病灶宽度117~2049μm、平均（710.0±464.5）μm；病灶深度23~158μm、平均（74.3±39.1）μm；Ⅰ型14处（66.67%）其中2处病灶伴发脉络膜新生血管，Ⅱ型7处（33.33%）其中5处病灶伴发脉络膜新生血管；8处病灶IS/OS反光带不完整（38.10%），其中7处伴发脉络膜新生血管（87.5%）。结论局部脉络膜陷凹可以见于各个年龄段，多为单眼但也可以是双眼发病，多为单发但也可以是多发的，患者多为近视，病灶的大小、深度变异大，Ⅱ型比Ⅰ型更容易伴发脉络膜新生血管（P＜0.05），Ⅱ型的或者伴有IS/OS层破坏的患者更需要积极的随访或者治疗。
目的：分析跼部脈絡膜陷凹光相榦斷層掃描（OCT）掃描圖像特點。方法使用海德堡視網膜斷層掃描儀（HRTΠ）迴顧性分析跼部脈絡膜陷凹患者17例18眼21處病竈，研究患者的年齡、性彆、眼彆、屈光狀態及伴髮疾病情況，分析病竈的位置、大小、分型、形態IS/OS反光帶完整性以及伴髮疾病情況。結果患者年齡16~64歲，平均（38.3±11.5）歲；男性5例（5眼），女性12例（13眼）；屈光狀態+1.33~-8.36D，平均（-3.27±2.92）D；雙眼髮病1例（5.88%）；多竈性髮病2例（11.11%）；病竈寬度117~2049μm、平均（710.0±464.5）μm；病竈深度23~158μm、平均（74.3±39.1）μm；Ⅰ型14處（66.67%）其中2處病竈伴髮脈絡膜新生血管，Ⅱ型7處（33.33%）其中5處病竈伴髮脈絡膜新生血管；8處病竈IS/OS反光帶不完整（38.10%），其中7處伴髮脈絡膜新生血管（87.5%）。結論跼部脈絡膜陷凹可以見于各箇年齡段，多為單眼但也可以是雙眼髮病，多為單髮但也可以是多髮的，患者多為近視，病竈的大小、深度變異大，Ⅱ型比Ⅰ型更容易伴髮脈絡膜新生血管（P＜0.05），Ⅱ型的或者伴有IS/OS層破壞的患者更需要積極的隨訪或者治療。
목적：분석국부맥락막함요광상간단층소묘（OCT）소묘도상특점。방법사용해덕보시망막단층소묘의（HRTΠ）회고성분석국부맥락막함요환자17례18안21처병조，연구환자적년령、성별、안별、굴광상태급반발질병정황，분석병조적위치、대소、분형、형태IS/OS반광대완정성이급반발질병정황。결과환자년령16~64세，평균（38.3±11.5）세；남성5례（5안），녀성12례（13안）；굴광상태+1.33~-8.36D，평균（-3.27±2.92）D；쌍안발병1례（5.88%）；다조성발병2례（11.11%）；병조관도117~2049μm、평균（710.0±464.5）μm；병조심도23~158μm、평균（74.3±39.1）μm；Ⅰ형14처（66.67%）기중2처병조반발맥락막신생혈관，Ⅱ형7처（33.33%）기중5처병조반발맥락막신생혈관；8처병조IS/OS반광대불완정（38.10%），기중7처반발맥락막신생혈관（87.5%）。결론국부맥락막함요가이견우각개년령단，다위단안단야가이시쌍안발병，다위단발단야가이시다발적，환자다위근시，병조적대소、심도변이대，Ⅱ형비Ⅰ형경용역반발맥락막신생혈관（P＜0.05），Ⅱ형적혹자반유IS/OS층파배적환자경수요적겁적수방혹자치료。
Objective To evaluate imaging features of focal choroidal excavation with optical coherence tomography(OCT). Methods A retrospective study among 17 focal choroidal excavation patients (including 18 eyes, 21 lesions) with Heidelberg retina tomography (HRTII) was conducted. This study demonstrated the characteristics of age, gender, dominant eye, refraction concomitant diseases among patients, and analyzed the location, size, classiifcation, morphology of lesions, as well as the IS/OS layer integrity. Results In our study, the age of 17 patients (5 males and 12 females) ranged from 16 to 64 years with an average age of (38.3±11.5) years old, the refraction ranged from +1.33 to -8.26 D with A mean value of (-3.27±2.92)D. 1 out of 17 patients exhibited bilateral lesions while multifocal lesions were found in 2 patients. The width of lesions ranged from 117 to 2049 μm with a mean value of (710.0±464.5)μm. The depth ranges from 23 to 158 μm with a mean value of (74.3±39.1)μm. Among 21 lesions, type Ⅰ and type Ⅱ lesions were accounted for 66.67% (14) and 33.33% (7) respectively, 2 of type Ⅰ and 5 of type Ⅱ lesions were accompanied by choroidal neovascularization. 8 out of 21 (38.10%) lesions showed impaired IS/OS relfectivity, 7 of which (87.5%) were accompanied by choroidal neovascularization. Conclusion Focal choroidal excavation may occur through all ages, either laterally or bilaterally. Most of the lesions are solitary while a few multifocal lesions are also showed. Most patients have myopia, exhibiting lesions with variable size and depth. Patients with Type Ⅱ lesions are prone to have choroidal neovascularization. It's crucial for this group of patients with or without impaired IS/OS layer integrity to get intensive treatment and follow-up.
