CAJ | 학술논문

目的探讨超声生物显微镜(UBM)在角膜皮样瘤术前评估中的作用.方法收集可配合行UBM检查的角膜皮样瘤患者8例,术前行UBM检查测量角膜皮样瘤厚度和浸润角膜的深度,根据检测结果选择手术方式,显微镜下彻底剥离角膜皮样瘤,游标卡尺测量角膜皮样瘤的厚度及浸润角膜的深度.结果 UBM检查测量角膜皮样瘤浸润角膜的深度与手术切除标本直接测量的深度相近,差异无统计学意义(t =0.228;P=0.826).UBM测量的角膜皮样瘤厚度略小于手术切除标本直接测量的厚度(0.037 mm),差异具有统计学意义(t=2.682;P=0.031).结论 UBM检查是角膜皮样瘤术前非常有价值的检查,可为手术设计提供参考信息,增加手术的预测性,减少手术的风险.
목적 탐토초성생물현미경(UBM)재각막피양류술전평고중적작용.방법 수집가배합행UBM검사적각막피양류환자8례,술전행UBM검사측량각막피양류후도화침윤각막적심도,근거검측결과선택수술방식,현미경하철저박리각막피양류,유표잡척측량각막피양류적후도급침윤각막적심도.결과 UBM검사측량각막피양류침윤각막적심도여수술절제표본직접측량적심도상근,차이무통계학의의(t =0.228;P=0.826).UBM측량적각막피양류후도략소우수술절제표본직접측량적후도(0.037 mm),차이구유통계학의의(t=2.682;P=0.031).결론 UBM검사시각막피양류술전비상유개치적검사,가위수술설계제공삼고신식,증가수술적예측성,감소수술적풍험.
Objective To investigate the preoperative evaluation of ultrasound biomicroscopy (UBM) in the corneal dermoid cases.Method Eight cases with corneal dermoid who could be performed UBM examination were collected.The thickness and the corneal infiltration depth of corneal dermoid were measured before operation using UBM.Operation design was selected according to the data measuring by UBM.Then the corneal dermoid was dissected completely under the microscopy.The thickness and the corneal infiltration depth of corneal dermoid were measured using vernier caliper.Results The comeal infiltration depth of corneal dermoid measured using UBM was close to the depth measuring using vernier caliper.The difference had no statistical significance (t =0.228;P =0.826).The thickness of corneal dermoid measured using UBM was slightly less than the thick-ness measuring using vernier caliper.(0.037mm).The difference was statistical significance (t =2.682; P =0.031).Conclusions UBM is a valuable preoperative examination for patients with corneal dermoid.It can provide reference information for the operation design,increase the predictability of surgery and reduce the risk of operation.