CAJ | 학술논문

目的探讨B型超声检查在眼后段挫伤诊断中的临床价值.方法对58例(65眼)眼后段挫伤进行眼部B型超声检查,并对其眼底表现与B超检查结果进行比较分析.结果眼底表现:黄斑水肿26眼(40.0%)、视网膜出血及视网膜下出血17眼(26.2%)、黄斑区色素紊乱9眼(13.8%)、玻璃体积血8眼(12.3%)、视盘水肿7眼(10.8%)、视网膜脱离3眼(4.6%)等.B型超声的阳性发现率:玻璃体积血、视网膜脱离均为100.0%,视盘水肿85.7%,视网膜出血及视网膜下出血84.2%,黄斑水肿69.2%,对黄斑色素紊乱不能显示.结论 B型超声对眼后段挫伤是一种安全、有效的检查方法,对玻璃体积血、视网膜脱离、视盘水肿、视网膜大量出血、黄斑水肿等诊断具有重要价值.
목적 탐토B형초성검사재안후단좌상진단중적림상개치.방법 대58례(65안)안후단좌상진행안부B형초성검사,병대기안저표현여B초검사결과진행비교분석.결과 안저표현:황반수종26안(40.0%)、시망막출혈급시망막하출혈17안(26.2%)、황반구색소문란9안(13.8%)、파리체적혈8안(12.3%)、시반수종7안(10.8%)、시망막탈리3안(4.6%)등.B형초성적양성발현솔:파리체적혈、시망막탈리균위100.0%,시반수종85.7%,시망막출혈급시망막하출혈84.2%,황반수종69.2%,대황반색소문란불능현시.결론 B형초성대안후단좌상시일충안전、유효적검사방법,대파리체적혈、시망막탈리、시반수종、시망막대량출혈、황반수종등진단구유중요개치.
Objective To investigate the clinical value of B-scan application in diagnosing ocular contusion. Methods Sixty-five eyes of 58 cases of posterior segment ocular contusion were examined with ultrasonography B-scan. Comparision and analysis were done betwen their fundus manifestation and ultrasonic results. Results Fundus aspects were macular edema in 26 eyes(40% ) ,retinal hemorrage and subretinal hemorrage in 17 eyes (26. 2% ), macular pigmentary mottling in 9 eyes ( 13.8% ), vitreous hemorrage in 8 eyes ( 12. 3 ), optic disc edema in 7 eyes ( 10. 8 % ), retinal detachment in 3 eyes ( 4. 6 % ), etc. The positive rate of ultrasonographic results of vitreous hemorrage and retinal detachment were 100% , optic disc edema 85.7%, retinal hemorrage and subretinal 84. 2% , macular edema was 69. 2%. Macular pigmentary mottling couldn' t be diagnosed by B-scan. Conclusion Ultrasongogeatohy B-scan is a safe and effectient diagonostic method of posterior segment ocular cotusion. It is valuable for diagnosing vitreous hemorrhage, retinal detachment, optic disc edema, retinal hemorrhage and macular edema.