眼球钝挫伤眼前节损害的超声生物显微镜扫描图像临床分析  

The clinical analysis of ultrasound biomicroscope scanning photography in anterior segment structure changes in blunt eye injury

作　　者：曾键[1] 陈静[1] 方玲珠[1] 

机构地区：[1]暨南大学附属深圳眼科中心深圳市眼科医院眼外伤科,深圳518001

出　　处：《中华超声影像学杂志》2006年第2期124-127,共4页Chinese Journal of Ultrasonography

摘　　要：目的分析眼球钝挫伤眼前节损害的超声生物显微镜扫描图像及其临床意义。方法使用ModelP40超声生物显微镜对69只无破裂钝伤眼进行检查。分别采集中央及3、6、9、12点处的图像,并依病情需要追加采集其他钟点的图像,结合临床了解眼前节组织变化与损害。结果62只眼有2种以上的眼前节组织损害,占89.9%。超声生物显微镜显示存在前房积血27只眼,前房角后退22只眼,虹膜根部离断16只眼,晶状体悬韧带断裂不全脱位19只眼,玻璃体疝5只眼,睫状体脱离19只眼,前部脉络膜脱离23只眼和前部玻璃体积血9只眼。结论超声生物显微镜在眼前节外伤中有实用临床价值,尤其在角膜混浊、前房积血、睫状体脱离、低眼压和病变隐藏在虹膜后时,可显示出常规眼科检查和眼部超声不能揭示的病变,为眼前节钝挫伤的诊断和治疗提供确切的依据和指导。Objective To clinical analyze the changes of ocular anterior segment structure using ultrasound biomicroscope（UBM） and their clinical values in blunt eye injury. Methods Sixty-nine eyes with no-opening wound in blunt eye injury were examined by UBM（Paradigm Model P40）. Scanning photography of central and 3, 6,9, 12 clock hour were recorded and printed, other clock hours were scanned if needed. These records were studied with clinical findings. Results UNM findings showed that 27 eyes had hyphema,22 eyes had anterior chamber angle recession, 16 eyes had iridodialysis,19 eyes had local luxation of lens,5 eyes had vitreous henia in anterior chamber, 19 eyes had cyclodialysis,23 eyes anterior choroidal detachment and 9 eyes had anterior vitreous haemorrhage. Of the 69 eyes, 62 eyes had combined structure changes showed above, which account 89.9%. Conclusions UBM is a practical tool for diagnosis of anterior segment structure changes in blunt eye injury, especially when there are corea opacity, hyphema, cyclodialysis, ocular hypotension and others. It can provide exact informations for the diagnosis and treatment, which can not be showed by routine ocular examination and B- scanning ultrasonography.

关 键 词：显微镜检查 声学 眼损伤 

分 类 号：R779.1[医药卫生—眼科]