中华眼底病杂志
中華眼底病雜誌
중화안저병잡지
Chinese Journal of Ocular Fundus Diseases
2015年
6期
545-548
,共4页
乐毅%张晓敏%王梅艳%陈曦腾%杨锦%李筱荣
樂毅%張曉敏%王梅豔%陳晞騰%楊錦%李篠榮
악의%장효민%왕매염%진희등%양금%리소영
葡萄膜脑膜脑炎综合征/并发症%血氧测定法%视网膜血管/病理生理学
葡萄膜腦膜腦炎綜閤徵/併髮癥%血氧測定法%視網膜血管/病理生理學
포도막뇌막뇌염종합정/병발증%혈양측정법%시망막혈관/병리생이학
Uveomeningoencephalitic syndrome/complications%Oximetry%Retinal vessels/physiopathology
目的 测量分析Vogt Koyanagi-Harada(VKH)综合征恢复期患者视网膜血管血氧饱和度和血管直径.方法 横断面研究.临床确诊为VKH综合征恢复期的14例患者28只眼(VKH组)及正常健康者10名20只眼(对照组)纳入研究.采用无创视网膜血氧饱和度分析仪对两组受检者视网膜动静脉的血氧饱和度和血管直径进行测量分析.受检者充分散瞳后取坐位,在暗室内采用570、600 nm波长过滤器采集图像并将其融合后,用不同颜色标识视网膜血管血红蛋白氧饱和度.每位受检者均重复检查2~3次,取平均值.所有图像采集均由同一位技术员完成.每只眼仅选择一张最高质量的图像,通过仪器配套软件测量分析距离视盘1.5~3.0个视盘直径的视网膜动静脉血氧饱和度及血管直径.所有图像分析、数据采集均由另一技术员完成.结果 VKH组、对照组受检者视网膜静脉血氧饱和度分别为(54.34±8.05)%、(60.07±7.91)%;VKH组患者视网膜静脉血氧饱和度较对照组受检者明显下降,差异有统计学意义(t=2.443,P=0.017).VKH组、对照组受检者视网膜动脉直径分别为(102.8±18.1)、(112.9±19.8)μm;VKH组患者视网膜动脉直径较对照组受检者明显偏小,差异有统计学意义(t=2.406,P=0.018).两组受检者视网膜静脉直径、视网膜动脉血氧饱和度及血氧饱和度动静脉差比较,差异均无统计学意义(t=0.014、1.353、-0.631,P=0.989、0.179、0.536).结论 与正常健康者比较,VKH综合征恢复期患者视网膜动脉直径明显变小,视网膜静脉血氧饱和度明显下降;视网膜静脉直径、视网膜动脉血氧饱和度及血氧饱和度动静脉差无明显变化.
目的 測量分析Vogt Koyanagi-Harada(VKH)綜閤徵恢複期患者視網膜血管血氧飽和度和血管直徑.方法 橫斷麵研究.臨床確診為VKH綜閤徵恢複期的14例患者28隻眼(VKH組)及正常健康者10名20隻眼(對照組)納入研究.採用無創視網膜血氧飽和度分析儀對兩組受檢者視網膜動靜脈的血氧飽和度和血管直徑進行測量分析.受檢者充分散瞳後取坐位,在暗室內採用570、600 nm波長過濾器採集圖像併將其融閤後,用不同顏色標識視網膜血管血紅蛋白氧飽和度.每位受檢者均重複檢查2~3次,取平均值.所有圖像採集均由同一位技術員完成.每隻眼僅選擇一張最高質量的圖像,通過儀器配套軟件測量分析距離視盤1.5~3.0箇視盤直徑的視網膜動靜脈血氧飽和度及血管直徑.所有圖像分析、數據採集均由另一技術員完成.結果 VKH組、對照組受檢者視網膜靜脈血氧飽和度分彆為(54.34±8.05)%、(60.07±7.91)%;VKH組患者視網膜靜脈血氧飽和度較對照組受檢者明顯下降,差異有統計學意義(t=2.443,P=0.017).VKH組、對照組受檢者視網膜動脈直徑分彆為(102.8±18.1)、(112.9±19.8)μm;VKH組患者視網膜動脈直徑較對照組受檢者明顯偏小,差異有統計學意義(t=2.406,P=0.018).兩組受檢者視網膜靜脈直徑、視網膜動脈血氧飽和度及血氧飽和度動靜脈差比較,差異均無統計學意義(t=0.014、1.353、-0.631,P=0.989、0.179、0.536).結論 與正常健康者比較,VKH綜閤徵恢複期患者視網膜動脈直徑明顯變小,視網膜靜脈血氧飽和度明顯下降;視網膜靜脈直徑、視網膜動脈血氧飽和度及血氧飽和度動靜脈差無明顯變化.
목적 측량분석Vogt Koyanagi-Harada(VKH)종합정회복기환자시망막혈관혈양포화도화혈관직경.방법 횡단면연구.림상학진위VKH종합정회복기적14례환자28지안(VKH조)급정상건강자10명20지안(대조조)납입연구.채용무창시망막혈양포화도분석의대량조수검자시망막동정맥적혈양포화도화혈관직경진행측량분석.수검자충분산동후취좌위,재암실내채용570、600 nm파장과려기채집도상병장기융합후,용불동안색표식시망막혈관혈홍단백양포화도.매위수검자균중복검사2~3차,취평균치.소유도상채집균유동일위기술원완성.매지안부선택일장최고질량적도상,통과의기배투연건측량분석거리시반1.5~3.0개시반직경적시망막동정맥혈양포화도급혈관직경.소유도상분석、수거채집균유령일기술원완성.결과 VKH조、대조조수검자시망막정맥혈양포화도분별위(54.34±8.05)%、(60.07±7.91)%;VKH조환자시망막정맥혈양포화도교대조조수검자명현하강,차이유통계학의의(t=2.443,P=0.017).VKH조、대조조수검자시망막동맥직경분별위(102.8±18.1)、(112.9±19.8)μm;VKH조환자시망막동맥직경교대조조수검자명현편소,차이유통계학의의(t=2.406,P=0.018).량조수검자시망막정맥직경、시망막동맥혈양포화도급혈양포화도동정맥차비교,차이균무통계학의의(t=0.014、1.353、-0.631,P=0.989、0.179、0.536).결론 여정상건강자비교,VKH종합정회복기환자시망막동맥직경명현변소,시망막정맥혈양포화도명현하강;시망막정맥직경、시망막동맥혈양포화도급혈양포화도동정맥차무명현변화.
Objective To measure and analyze the oxygen saturation and retinal blood vessel diameter in the eyes of patients with convalescence Vogt-Koyanagi-Harada (VKH) syndrome.Methods In this cross-sectional study, 28 eyes of 14 patients with convalescence VKH syndrome (VKH group) and 20 eyes of 10 healthy subjects (control group) were enrolled.The oxygen saturation and retinal blood vessel diameter were detected by spectrophotometric oximetry unit.Retinal images were collected using filters with wavelengths of 570 nm and 600 nm in the darkroom by the same technologist and then the fused image was obtained.The oxygen saturation of retinal vessels was marked in different colors.The measurement was repeated 2-3 times for each patient, then take an average.A top-quality image in each eye was selected to detect the oxygen saturation and diameter of retinal vessel which located in 1.5-3.0 disc diameter from the optic disc.Image analysis and data acquisition were completed by another technologist.Results Retinal venous oxygen saturation was (54.34 ± 8.05) % in the VKH group and (60.007 ± 7.91) % in the control group.The former was lower than the latter, the difference wvas significant (t=2.443, P=0.017).The mean diameter of retinal arteries was (102.8±18.1) μm in the VKH group and (112.9±19.8) μm in the control group.The former was smaller than the latter, the difference was significant (t =2.406, P=0.018).There was no significant difference of the mean diameter of retinal veins, oxygen saturation of retinal arteries and the arterial-venous difference between two groups (t=-0.330, 0.804,-0.631;P=0.743, 0.403, 0.536).Conclusions Retinal venous oxygen saturation and the mean diameter of retinal arteries are significantly decreased in patients with VKH syndrome.There is no significant difference of diameter of retinal veins, oxygen saturation of retinal arteries and the arterial-venous difference between VKH syndrome patients and healthy subjects.