摘要
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.
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.
出处
《中华眼视光学与视觉科学杂志》
CAS
2014年第11期655-658,共4页
Chinese Journal Of Optometry Ophthalmology And Visual Science
关键词
眼损伤
眼内病理膜
超声诊断
多普勒
彩色
Eye injury
Intraocular membrane
Ultrasound diagnosis,Doppler,color
