CAJ | 학술논문

目的探讨超声三维重建显示并测量成人活体泪囊及内眦动脉的效果.方法系列病例研究.选取武警总医院眼科泪器病中心2009年10月至2010年10月经眼科专科医师检查无泪道相关疾病的其他眼病患者80例(80只眼),利用GE Voluson E8型超声诊断仪(三维超声诊断仪器),妇科腔内探头,频率5 ～ 12 MHz对其进行检测,每项数据重复测量3次,取其平均值.采用t检验对数据进行统计学分析.结果成年男性受试者泪囊腔垂直径、前后径、横径大小分别为(13.3±2.0) mm、(6.2±1.1)mm、(5.0 ±0.9)mm;成年女性受试者泪囊腔垂直径、前后径、横径大小分别为(13.1 ±2.2) mm、(5.8±1.0)mm、(4.8±0.8)mm,两者比较差异无统计学意义(t=1.63,1.45,1.41,P＞0.05).成年男性受试者泪囊腔(顶、底)到皮肤表面、内眦角顶点的距离分别为(6.5±0.1)mm、(5.9 ±0.1)mm、(6.8 ±0.1)mm、(8.8 ±0.1)mm;成年女性的测量结果分别为(6.1 ±0.1)mm、(5.7 ±0.l)mm、(6.2±0.1)mm、(8.6 ±0.1)mm,两者比较差异无统计学意义(t=1.30,1.56,1.45,1.63,P＞0.05).成年男性受试者内眦动脉到皮肤表面、内眦角顶点的距离分别为(7.7 ±0.1)mm、(8.0 ±0.0)mm;成年女性的测量结果分别为(7.6±0.1)mm、(7.9±0.1)mm,两者比较差异无统计学意义(t=1.38,1.34,P＞0.05).结论超声三维重建能较清晰地显示成人活体泪囊和内眦动脉形态,测量出具体影像解剖学数据.
목적 탐토초성삼유중건현시병측량성인활체루낭급내자동맥적효과.방법 계렬병례연구.선취무경총의원안과루기병중심2009년10월지2010년10월경안과전과의사검사무루도상관질병적기타안병환자80례(80지안),이용GE Voluson E8형초성진단의(삼유초성진단의기),부과강내탐두,빈솔5 ～ 12 MHz대기진행검측,매항수거중복측량3차,취기평균치.채용t검험대수거진행통계학분석.결과 성년남성수시자루낭강수직경、전후경、횡경대소분별위(13.3±2.0) mm、(6.2±1.1)mm、(5.0 ±0.9)mm;성년녀성수시자루낭강수직경、전후경、횡경대소분별위(13.1 ±2.2) mm、(5.8±1.0)mm、(4.8±0.8)mm,량자비교차이무통계학의의(t=1.63,1.45,1.41,P＞0.05).성년남성수시자루낭강(정、저)도피부표면、내자각정점적거리분별위(6.5±0.1)mm、(5.9 ±0.1)mm、(6.8 ±0.1)mm、(8.8 ±0.1)mm;성년녀성적측량결과분별위(6.1 ±0.1)mm、(5.7 ±0.l)mm、(6.2±0.1)mm、(8.6 ±0.1)mm,량자비교차이무통계학의의(t=1.30,1.56,1.45,1.63,P＞0.05).성년남성수시자내자동맥도피부표면、내자각정점적거리분별위(7.7 ±0.1)mm、(8.0 ±0.0)mm;성년녀성적측량결과분별위(7.6±0.1)mm、(7.9±0.1)mm,량자비교차이무통계학의의(t=1.38,1.34,P＞0.05).결론 초성삼유중건능교청석지현시성인활체루낭화내자동맥형태,측량출구체영상해부학수거.
Objective To measure and accumulate imaging anatomical data of lacrimal sac and medial canthal artery,and provide the knowledge for clinical diagnosis and therapy of lacrimal diseases.Methods 80 volunteers (80 eyes) who were eliminated the tearing related diseases by ophthalmologist were included.GE Voluson E8 ultrasound diagnostic apparatus with probe of high frequency 5-12 MHz was used,the probe of the three-dimensional ultrasound contacted eyes indirectly.The vertical diameter,anteroposterior diameter,width of lacrimal sac were measured,and vertical distance between top to bottom of lacrimal sac and medial canthus to skin,vertical distance between medial canthal artery and medial canthus to skin were also measured.Results The measurement results of adult male subjects of lacrimal sac cavity vertical diameter and anteroposterior diameter and diameter were (13.3 ± 2.0) mm,(6.2 ± 1.1) mm,(5.0 ± 0.9) mm; the measurement results of adult female subjects of lacrimal sac cavity vertical diameter and anteroposterior diameter and diameter were (13.1 ± 2.2) mm,(5.8 ± 1.0) mm,(4.8 ± 0.8) mm,the difference was not statistically significant(t =1.63,1.45,1.41,P ＞ 0.05).The measurement results of adult male subjects of lacrimal sac cavity (top,bottom) to the top of the skin surface and medial canthal were (6.5±0.1) mm,(5.9 ±0.1) mm,(6.8±0.1) mm,(8.8±0.1) mm; the adult female group measurements were (6.1 ±0.1) mm,(5.7 ±0.1) mm,(6.2 ±0.1) mm,(8.6 ±0.1) mm,the difference was not statistically significant(t =1.30,1.56,1.45,1.63,P ＞ 0.05).The measurement results of adult male subjects vertex are angular artery to the skin surface and medial cantbal were (7.7 ± 0.1) mm,(8.0 ± 0.0) mm ; the adult female group measurements respectively (7.6 ± 0.1) mm,(7.9 ± 0.1) mm,the difference was not statistically significant (t =1.38,1.34,P ＞ 0.05).Conclusions Lacrimal sac and medial canthal artery can be showed clearly in three-dimensional ultrasound reconstruction,this can provide the guidance for clinical diagnosis and therapy of lacrimal deseases.