国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
5期
900-903
,共4页
陈娟%陈忠平%王启常%何鑫
陳娟%陳忠平%王啟常%何鑫
진연%진충평%왕계상%하흠
孔源性视网膜脱离%超声生物显微镜%玻璃体切除术
孔源性視網膜脫離%超聲生物顯微鏡%玻璃體切除術
공원성시망막탈리%초성생물현미경%파리체절제술
rhegmatogenous retinal detachment%ultrasound biomicroscopy%pars plana vitrectomy
目的：分析因孔源性视网膜脱离需行玻璃体切除手术的患者术前超声生物显微镜( UBM )的检查结果,探讨术前超声生物显微镜检查的临床应用价值。<br> 方法：选取我院2014-01/12因孔源性视网膜脱离行玻璃体切除手术的患者,记录其术前UBM检查的结果,并对阳性结果进行分析,探讨术前应用UBM检查的价值。<br> 结果：接受玻璃体切除手术的孔源性视网膜脱离患者共356例357眼。术前均进行了 UBM 检查,其中122眼(34.17%)有阳性发现,56眼有睫状体脉络膜脱离,28眼有房角狭窄,6眼房角关闭,28眼发现有睫状体囊肿,4眼发现有虹膜囊肿,11眼发现有前部增殖性玻璃体视网膜病变,1眼发现有视网膜囊肿,其中12眼同时存在两种病变。本研究中 UBM 发现脉络膜脱离者56眼,阳性率15.7%；术前眼B超检查发现脉络膜脱离者25眼,阳性率7.0%,差异有统计学意义(χ2=13.382,P<0.05)。<br> 结论：对于患孔源性视网膜脱离,因病情需行玻璃体切除术的患者,术前检查UBM能够全面了解前房角、睫状体和前部脉络膜视网膜的情况,对全面了解患者术前情况,估计手术难度,指导术中操作及术后随访有重要意义。
目的：分析因孔源性視網膜脫離需行玻璃體切除手術的患者術前超聲生物顯微鏡( UBM )的檢查結果,探討術前超聲生物顯微鏡檢查的臨床應用價值。<br> 方法：選取我院2014-01/12因孔源性視網膜脫離行玻璃體切除手術的患者,記錄其術前UBM檢查的結果,併對暘性結果進行分析,探討術前應用UBM檢查的價值。<br> 結果：接受玻璃體切除手術的孔源性視網膜脫離患者共356例357眼。術前均進行瞭 UBM 檢查,其中122眼(34.17%)有暘性髮現,56眼有睫狀體脈絡膜脫離,28眼有房角狹窄,6眼房角關閉,28眼髮現有睫狀體囊腫,4眼髮現有虹膜囊腫,11眼髮現有前部增殖性玻璃體視網膜病變,1眼髮現有視網膜囊腫,其中12眼同時存在兩種病變。本研究中 UBM 髮現脈絡膜脫離者56眼,暘性率15.7%；術前眼B超檢查髮現脈絡膜脫離者25眼,暘性率7.0%,差異有統計學意義(χ2=13.382,P<0.05)。<br> 結論：對于患孔源性視網膜脫離,因病情需行玻璃體切除術的患者,術前檢查UBM能夠全麵瞭解前房角、睫狀體和前部脈絡膜視網膜的情況,對全麵瞭解患者術前情況,估計手術難度,指導術中操作及術後隨訪有重要意義。
목적：분석인공원성시망막탈리수행파리체절제수술적환자술전초성생물현미경( UBM )적검사결과,탐토술전초성생물현미경검사적림상응용개치。<br> 방법：선취아원2014-01/12인공원성시망막탈리행파리체절제수술적환자,기록기술전UBM검사적결과,병대양성결과진행분석,탐토술전응용UBM검사적개치。<br> 결과：접수파리체절제수술적공원성시망막탈리환자공356례357안。술전균진행료 UBM 검사,기중122안(34.17%)유양성발현,56안유첩상체맥락막탈리,28안유방각협착,6안방각관폐,28안발현유첩상체낭종,4안발현유홍막낭종,11안발현유전부증식성파리체시망막병변,1안발현유시망막낭종,기중12안동시존재량충병변。본연구중 UBM 발현맥락막탈리자56안,양성솔15.7%；술전안B초검사발현맥락막탈리자25안,양성솔7.0%,차이유통계학의의(χ2=13.382,P<0.05)。<br> 결론：대우환공원성시망막탈리,인병정수행파리체절제술적환자,술전검사UBM능구전면료해전방각、첩상체화전부맥락막시망막적정황,대전면료해환자술전정황,고계수술난도,지도술중조작급술후수방유중요의의。
?AlM: To analyze the result of ultrasound biomicroscopy ( UBM ) of patients with rhegmatogenous retinal detachment ( RRD ) who need to perform pars plana vitrectomy ( PPV ) to explore the value of clinical application of UBM at preoperation. <br> ?METHODS:Patients who underwent PPV for RRD in our hospital from January to December 2014 were selected. The preoperative results of UBM were recorded and the positive findings of UBM were analyzed, the value of preoperative application of UBM was investigated. <br> ?RESULTS:Totally 356 cases (357 eyes) of patients with RRD were received PPV. All patients were examined by UBM, 122 eyes ( 34. 17%) were positive, 56 eyes were ciliochoroidal detachment, 28 eyes were narrow anterior chamber angle, 6 eyes were chamber angle-closure, 28 eyes were ciliary body cyst, 4 eyes were iris cyst, 11 eyes were anterior proliferative vitreoretinopathy, 1 eye was retinal cyst. There were 12 eyes existing two lesions at the same times. ln this study, patients with choroidal detachment was detected by UBM in 56 eyes, the positive rate was 15. 7%, while 25 eyes was detected by B -ultrasonography, the positive was 7. 0%. The difference was statistical significant(χ2=13. 382, P<0. 05). <br> ?CONCLUSlON: The patients with RRD have underwent PPV for the condition of illness, preoperative UBM can be examined to detect the condition of anterior chamber angle, iris, ciliary and anterior choroid, which is significant for comprehensively understanding the preoperative condition of patients, estimating the difficulty of the operation, and guiding operation and the postoperative follow-up.
