中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
11期
1338-1341
,共4页
李士清%牛超%王志立%雷祥%郭慧丽%李晓华
李士清%牛超%王誌立%雷祥%郭慧麗%李曉華
리사청%우초%왕지립%뢰상%곽혜려%리효화
近红外自发荧光%相关光断层扫描%眼底血管造影%脉络膜裂伤
近紅外自髮熒光%相關光斷層掃描%眼底血管造影%脈絡膜裂傷
근홍외자발형광%상관광단층소묘%안저혈관조영%맥락막렬상
Near-infrared autofluorescence%Optical coherence tomography%Fundus fluorescein angiography%Choroidal rupture
目的 探讨近红外自发荧光(NIA)联合相干光断层扫描(OCT)检查在视网膜后极部脉络膜裂伤中的应用价值.方法 对2009年2月至2014年4月在河南省立眼科医院确诊为视网膜后极部脉络膜裂伤11例患者进行眼底荧光血管造影(FFA)、NIA和OCT检查,并统计FFA和NIA测量脉络膜裂伤程度结果.结果 8例视网膜后极部脉络膜裂伤未合并视网膜下出血患者FFA与NIA均能从平面显示脉络膜裂伤长度,两组数据比较差异无统计学意义(t =1.06,P=0.31＞0.05).OCT从切面显示脉络膜裂伤及与黄斑中心凹距离.3例视网膜后极部脉络膜裂伤合并视网膜下出血患者NIA和OCT能立体评估和随访视网膜下出血位置及隆起高度的变化.NIA联合OCT检查所需时间约为FFA的35.56％,所需费用为FFA的38.64％.结论 NIA和OCT为无创性检查,两者联合能更简单和经济评估后极部脉络膜裂伤及合并视网膜下出血的患者.
目的 探討近紅外自髮熒光(NIA)聯閤相榦光斷層掃描(OCT)檢查在視網膜後極部脈絡膜裂傷中的應用價值.方法 對2009年2月至2014年4月在河南省立眼科醫院確診為視網膜後極部脈絡膜裂傷11例患者進行眼底熒光血管造影(FFA)、NIA和OCT檢查,併統計FFA和NIA測量脈絡膜裂傷程度結果.結果 8例視網膜後極部脈絡膜裂傷未閤併視網膜下齣血患者FFA與NIA均能從平麵顯示脈絡膜裂傷長度,兩組數據比較差異無統計學意義(t =1.06,P=0.31＞0.05).OCT從切麵顯示脈絡膜裂傷及與黃斑中心凹距離.3例視網膜後極部脈絡膜裂傷閤併視網膜下齣血患者NIA和OCT能立體評估和隨訪視網膜下齣血位置及隆起高度的變化.NIA聯閤OCT檢查所需時間約為FFA的35.56％,所需費用為FFA的38.64％.結論 NIA和OCT為無創性檢查,兩者聯閤能更簡單和經濟評估後極部脈絡膜裂傷及閤併視網膜下齣血的患者.
목적 탐토근홍외자발형광(NIA)연합상간광단층소묘(OCT)검사재시망막후겁부맥락막렬상중적응용개치.방법 대2009년2월지2014년4월재하남성립안과의원학진위시망막후겁부맥락막렬상11례환자진행안저형광혈관조영(FFA)、NIA화OCT검사,병통계FFA화NIA측량맥락막렬상정도결과.결과 8례시망막후겁부맥락막렬상미합병시망막하출혈환자FFA여NIA균능종평면현시맥락막렬상장도,량조수거비교차이무통계학의의(t =1.06,P=0.31＞0.05).OCT종절면현시맥락막렬상급여황반중심요거리.3례시망막후겁부맥락막렬상합병시망막하출혈환자NIA화OCT능입체평고화수방시망막하출혈위치급륭기고도적변화.NIA연합OCT검사소수시간약위FFA적35.56％,소수비용위FFA적38.64％.결론 NIA화OCT위무창성검사,량자연합능경간단화경제평고후겁부맥락막렬상급합병시망막하출혈적환자.
Objective To explore the clinical significance of near-infrared autofluorescence (NIA) combined with optical coherence tomography (OCT) in patients with choroidal rupture in the posterior pole of the retina.Methods Eleven (11 eyes) with choroidal rupture or combined with subretinal hemorrhage in the posterior pole of the retina were examined by fundus fluorescein angiography (FFA),NIA and OCT inspection,and recorded the results of the length of the choroidal rupture measured respectively on NIA and FFA images.Results Both FFA and NIA could show the choroidal ruptures in 8 patients with no subretinal hemorrhage,there were no significant differences between the two groups in the length measure of the choroidal rupture (t =1.06,P =0.31＞0.05).OCT could display the location of the choroidal rupture and the relationship with macular fovea from section.NIA combined with OCT could bring a three-dimensional evaluation and follow-up the change of subreitnal hemorrhage in 3 patients with choroidal rupture.The examination time of NIA combined with OCT was about 35.56％ of FFA,and the cost was about 38.64％ of FFA.Conclusions NIA and OCT are both noninvasive examination,NIA combined with OCT can bring a more simple and economic assessment patients with choroidal rupture or combined with subretinal hemorrhage in the posterior pole of the retina.
