中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2014年
11期
655-658
,共4页
李栋军%陈伟%王子杨%杨文利
李棟軍%陳偉%王子楊%楊文利
리동군%진위%왕자양%양문리
眼损伤%眼内病理膜%超声诊断,多普勒,彩色
眼損傷%眼內病理膜%超聲診斷,多普勒,綵色
안손상%안내병리막%초성진단,다보륵,채색
Eye injury%Intraocular membrane%Ultrasound diagnosis,Doppler,color
目的 探讨眼外伤所致眼内病理膜的彩色多普勒超声诊断特点.方法 回顾性病例研究.选择2013年1-12月因眼外伤行眼部彩色多普勒超声检查的患者1 156例(1 162眼),对其彩色多普勒超声诊断特点进行总结和分析,部分病例经手术确定诊断,判断彩色多普勒超声诊断的准确性.结果 1 156例(1 162眼)的超声诊断包括玻璃体积血(1 071眼)、眼内炎(78眼)、玻璃体后脱离(624眼)、视网膜脱离(521眼)、脉络膜脱离(221眼)、脉络膜上腔积血(117眼)等.眼外伤所致的玻璃体内膜状病变的彩色多普勒超声诊断特点为单一疾病表现典型,但多数患者存在2种或2种以上病变.应用彩色多普勒超声检查,在参考二维超声检查结果的同时,根据视网膜、脉络膜的血供特点,可以在错综复杂的眼内条带状回声中分辨出脱离的视网膜和脉络膜,为手术和治疗提供可靠的依据.本组部分病例经手术治疗.总体超声诊断与临床和手术诊断的符合率为99.1％.结论 应用彩色多普勒超声检查眼外伤所致玻璃体内膜状病变是一种经济、简便、无创、可重复性好的诊断方法,根据视网膜和脉络膜的血流特征分析方法,可以提高超声诊断的准确性.
目的 探討眼外傷所緻眼內病理膜的綵色多普勒超聲診斷特點.方法 迴顧性病例研究.選擇2013年1-12月因眼外傷行眼部綵色多普勒超聲檢查的患者1 156例(1 162眼),對其綵色多普勒超聲診斷特點進行總結和分析,部分病例經手術確定診斷,判斷綵色多普勒超聲診斷的準確性.結果 1 156例(1 162眼)的超聲診斷包括玻璃體積血(1 071眼)、眼內炎(78眼)、玻璃體後脫離(624眼)、視網膜脫離(521眼)、脈絡膜脫離(221眼)、脈絡膜上腔積血(117眼)等.眼外傷所緻的玻璃體內膜狀病變的綵色多普勒超聲診斷特點為單一疾病錶現典型,但多數患者存在2種或2種以上病變.應用綵色多普勒超聲檢查,在參攷二維超聲檢查結果的同時,根據視網膜、脈絡膜的血供特點,可以在錯綜複雜的眼內條帶狀迴聲中分辨齣脫離的視網膜和脈絡膜,為手術和治療提供可靠的依據.本組部分病例經手術治療.總體超聲診斷與臨床和手術診斷的符閤率為99.1％.結論 應用綵色多普勒超聲檢查眼外傷所緻玻璃體內膜狀病變是一種經濟、簡便、無創、可重複性好的診斷方法,根據視網膜和脈絡膜的血流特徵分析方法,可以提高超聲診斷的準確性.
목적 탐토안외상소치안내병리막적채색다보륵초성진단특점.방법 회고성병례연구.선택2013년1-12월인안외상행안부채색다보륵초성검사적환자1 156례(1 162안),대기채색다보륵초성진단특점진행총결화분석,부분병례경수술학정진단,판단채색다보륵초성진단적준학성.결과 1 156례(1 162안)적초성진단포괄파리체적혈(1 071안)、안내염(78안)、파리체후탈리(624안)、시망막탈리(521안)、맥락막탈리(221안)、맥락막상강적혈(117안)등.안외상소치적파리체내막상병변적채색다보륵초성진단특점위단일질병표현전형,단다수환자존재2충혹2충이상병변.응용채색다보륵초성검사,재삼고이유초성검사결과적동시,근거시망막、맥락막적혈공특점,가이재착종복잡적안내조대상회성중분변출탈리적시망막화맥락막,위수술화치료제공가고적의거.본조부분병례경수술치료.총체초성진단여림상화수술진단적부합솔위99.1％.결론 응용채색다보륵초성검사안외상소치파리체내막상병변시일충경제、간편、무창、가중복성호적진단방법,근거시망막화맥락막적혈류특정분석방법,가이제고초성진단적준학성.
Objective To investigate the characteristics of damage to intraocular membranes from ocular trauma using color Doppler flow imaging (CDFI) for diagnosis.Methods We retrospectively studied 1 162 eyes of 1 156 patients who sustained ocular injuries from January 2013 to December 2013.CDFI was used to detect damage to ocular membranes.The surgical diagnosis was also reviewed.Results Among 1 162 eyes of 1 156 patients,vitreous hemorrhage presented in 1 071 eyes,endophthalmitis presented in 78 eyes,and posterior vitreous detachment presented in 624 eyes.There were 521,221 and 117 eyes with retinal detachment,choroidal detachment and choroidal hemorrhage,respectively.While trauma to intraocular membranes is typically associated with a single injury identified with CDFI,most of the patients suffered from various injuries.Color Doppler flow imaging detected the damaged tissues with 2D images.Moreover,the imaging can analyze the retina and choroid blood flow to help distinguish retinal or choroidal detachment.In this study,99.1％ of the ultrasound diagnoses matched the clinical and surgical diagnoses.Conclusion Color Doppler flow imaging is an economical and simple way to detect intraocular membrane injury from ocular trauma.It is also noninvasive and repeatable.The use of retinal and choroidal blood flow analysis can increase the detection rate of intraocular membrane injury from ocular trauma.
