增生性糖尿病性视网膜病的B型超声观察  

B-mode ultrasonographic characterization of proliferative diabetic retinopathy

作　　者：曹春林[1] 王路选 张丽京[1] 毛广平[3] 

机构地区：[1]南京军区南京总医院眼科,江苏南京210002 [2]北京总参管理保障部旃坛寺门诊部,北京100007 [3]南京军区南京总医院博士后工作站,江苏南京210002

出　　处：《医学研究生学报》2007年第9期953-956,共4页Journal of Medical Postgraduates

基　　金：江苏省六大人才高峰重点课题基金资助项目(批准号:2005A6)

摘　　要：目的:结合临床探讨增生性糖尿病性视网膜病(PDR)B型超声的声像特征。方法:对490例PDR患者566只眼行超声检查,观察各种病理改变的位置、形态、程度、范围和活动度等,并作出判断。结果:超声检查既不受屈光间质混浊的影响,又可连续动态观察,并能清楚显示多种玻璃体视网膜病变。对PDR各种病理改变如玻璃体积血、玻璃体后脱离、牵引性视网膜脱离、玻璃体机化和视网膜前膜的诊断符合率达94%。结论:B型超声检查可用于PDR随访,判断临床手术时机和提示手术方法,是临床上用于判断PDR眼内改变术前检查的有效手段,为眼科医师提供可靠的诊断和治疗依据。Objective. To explore the B-mode ultrasonographic characterization of proliferative diabetic retinopathy （PDR） assisted by clinical data. Methods： We performed B-mode ultrasonic examinations on 566 eyes from 490 patients with PDR, and observed the pathological changes in terms of their position, morphology, degree, extent and activity. Results：Ultrasonography uninfluenced by the turbidity of refracting media, was capable of continuous and dynamic observation, clearly displaying a variety of vitreous retinal conditions. Pathologic changes of PDR, such as vitreous hemorrhage, posterior vitreous detachment, tractional retina detachment, vitreous organization, preretinal membranes, were consistant with clinical diagnosis in 94% of the cases. Conclusion：B-mode ultrasonography can be applied to the follow-up of PDR patients, and assist in decision-making on the time and method of operation. It is an effective means of pre-operational characterization PDR, and may offer reliable data for di- agnosis and treatment.

关 键 词：B型超声 增生性糖尿病性视网膜病 玻璃体 

分 类 号：R587.1[医药卫生—内分泌]