中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
2期
143-145
,共3页
谢海南%陈穗桦%曹茜%余婷
謝海南%陳穗樺%曹茜%餘婷
사해남%진수화%조천%여정
生物测定%视网膜脱离%硅油填充眼%A型超声
生物測定%視網膜脫離%硅油填充眼%A型超聲
생물측정%시망막탈리%규유전충안%A형초성
Biometry%Retinal detachment%Silicon oil tamponade%A-scan ultrasound
目的 通过对视网膜脱离患者行玻璃体切割硅油填充术前后、硅油取出术后传统A超眼球生物测定值的动态对比观察,统计学分析其临床意义.方法 对2009年6月至2013年3月在南京军区总医院临床学院眼科动态观察行视网膜脱离手术患者59例61只眼,对患者术前、硅油填充状态、硅油取出后30天3个时间点采用A超屈光模式动态测定眼球生物值,包括:眼轴长度、前房深度、晶状体厚度、玻璃体腔深度,对所测值进行统计学分析.结果 (1)A超测量患者术前与硅油填充状态的眼轴长度、前房深度、玻璃体腔深度差异均有统计学意义.(2)硅油填充状态与硅油取出后的眼轴长度、前房深度、玻璃体腔深度差异均有统计学意义.(3)术前与硅油取出后玻璃体腔深度差异有统计学意义.(4)术前与硅油取出后的眼轴长度、前房深度差异均无统计学意义.(5)术前与硅油填充状态、硅油填充状态与硅油取出后的晶状体厚度差异无统计学意义.结论 本研究患者术前与硅油取出后的眼轴长度、前房深度差异均无统计学意义,这对硅油取出联合白内障摘除及人工晶状体植入术的患者选择精确人工晶状体度数提供一定的帮助,证明术前A超眼球生物测定值的资料是十分有效的参考.
目的 通過對視網膜脫離患者行玻璃體切割硅油填充術前後、硅油取齣術後傳統A超眼毬生物測定值的動態對比觀察,統計學分析其臨床意義.方法 對2009年6月至2013年3月在南京軍區總醫院臨床學院眼科動態觀察行視網膜脫離手術患者59例61隻眼,對患者術前、硅油填充狀態、硅油取齣後30天3箇時間點採用A超屈光模式動態測定眼毬生物值,包括:眼軸長度、前房深度、晶狀體厚度、玻璃體腔深度,對所測值進行統計學分析.結果 (1)A超測量患者術前與硅油填充狀態的眼軸長度、前房深度、玻璃體腔深度差異均有統計學意義.(2)硅油填充狀態與硅油取齣後的眼軸長度、前房深度、玻璃體腔深度差異均有統計學意義.(3)術前與硅油取齣後玻璃體腔深度差異有統計學意義.(4)術前與硅油取齣後的眼軸長度、前房深度差異均無統計學意義.(5)術前與硅油填充狀態、硅油填充狀態與硅油取齣後的晶狀體厚度差異無統計學意義.結論 本研究患者術前與硅油取齣後的眼軸長度、前房深度差異均無統計學意義,這對硅油取齣聯閤白內障摘除及人工晶狀體植入術的患者選擇精確人工晶狀體度數提供一定的幫助,證明術前A超眼毬生物測定值的資料是十分有效的參攷.
목적 통과대시망막탈리환자행파리체절할규유전충술전후、규유취출술후전통A초안구생물측정치적동태대비관찰,통계학분석기림상의의.방법 대2009년6월지2013년3월재남경군구총의원림상학원안과동태관찰행시망막탈리수술환자59례61지안,대환자술전、규유전충상태、규유취출후30천3개시간점채용A초굴광모식동태측정안구생물치,포괄:안축장도、전방심도、정상체후도、파리체강심도,대소측치진행통계학분석.결과 (1)A초측량환자술전여규유전충상태적안축장도、전방심도、파리체강심도차이균유통계학의의.(2)규유전충상태여규유취출후적안축장도、전방심도、파리체강심도차이균유통계학의의.(3)술전여규유취출후파리체강심도차이유통계학의의.(4)술전여규유취출후적안축장도、전방심도차이균무통계학의의.(5)술전여규유전충상태、규유전충상태여규유취출후적정상체후도차이무통계학의의.결론 본연구환자술전여규유취출후적안축장도、전방심도차이균무통계학의의,저대규유취출연합백내장적제급인공정상체식입술적환자선택정학인공정상체도수제공일정적방조,증명술전A초안구생물측정치적자료시십분유효적삼고.
Objective To compare the biometry measurements of A-scan ultrasound in patients with vitrectomy and silicon oil tamponade,silicon oil removal,and analyze its clinical significance.Methods Dynamic observation was conducted in 61 eyes of 59 patients with retinal detachment by same operator.Measurements were made before operation,silicon oil-filled and silicon oil removal by Ultra scan Digital 2000 contact ultrasound A-scan (Alcon),which included axial length (AL),anterior chamber depth (ACD),Lens thickness and crystal thickness.Results There was significant difference in measurement of ALs,ACDs and crystal thickness preoperative and silicon oil-filled measured by A-can ultrasound,respectively.Significant difference of the ALs,ACDs and crystal thickness in silicon oil-filled and silicon oil removal was also found.The crystal thickness measured by A-can ultrasound preoperative and silicone oil removal,showing significant discrepancy.There was no statistical significance of ALs and ACDs changes preoperative and silicone oil removal.Before and after operation,the difference of lens thickness measured by A-scan ultrasound was not significant.Conclusions In this study,there is no statistical significance of ALs and ACDs changes before and after operation.The preoperative A-scan biometric data is effective reference for phacoemulsification combined silicone oil removal and intraocular lens implantation.
