B-型超声在甲状腺相关眼病眼外肌厚度测量中的应用  

A clinical study of B-scan ultrasound examination in the extraocular muscles for thyroid-associated ophthalmopathy

作　　者：李辉[1] 姜如欣[1] 刘玉华[1] 

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院眼科,北京100730

出　　处：《中国医学影像技术》2008年第11期1737-1739,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的探讨B-型超声在甲状腺相关眼病眼外肌厚度测量中的应用。方法对30例甲状腺相关眼病患者(60只眼)及无甲状腺相关眼病27例(54只眼)两组采用B-型超声测量眼外肌厚度,计算眼外肌厚度平均值及眼外肌受累情况。结果27例(54只眼)无甲状腺相关眼病组:下直肌(3.64±0.63)mm,内直肌(3.68±0.92)mm,上直肌(3.62±0.74)mm,外直肌(3.40±0.44)mm;30例(60只眼)甲状腺相关眼病组:下直肌(6.43±0.90)mm,受累54条(67.5%),内直肌(6.02±1.37)mm,受累44条(55%),上直肌(7.32±1.48)mm,受累33条(41.3%),外直肌(5.40±0.10)mm受累22条(27.5%);两组相比各直肌差异均存在显著统计学意义(P<0.05),甲状腺相关眼病组各条直肌较无甲状腺相关眼病组明显增厚。结论B-型超声测量甲状腺相关眼病眼外肌厚度安全准确,对指导临床诊断、治疗具有实用价值。Objective To evaluate the Bscan ultrasound to extraocular rectus muscles of thyroid-related immune orbitopathy. Methods Extraocular rectus muscles of 30 patients （60 eyes） with thyroid-related immune orbitopathy and 27 patiens （54 eyes） without thyroid-related immune orbitopathy were measured by B-scan ultrasound. Results Extraocular rectus muscles of 27 patiens （54 eyes） without thyroid-related immune orbitopathy： the diameter of the inferior reeus musule was （3.64±0.63）mm, medial rectus muscle was （3.68±0.92）mm, superior rectus muscle was （3.62±0.74）mm, the lateral rectus muscle was （3.40±0.44）mm. Extraocular rectus muscles of 30 patients （60 eyes） with thyroid-related immune orbitopathy： The diameter of the inferior recus musuele was （6.43±0.90）mm and 67.5% of inferior reeus muscle involved, medial rectus muscle was （6.02±1.37）mm and 55% of medial recus muscle involved, superior rectus muscle was （7.32±1.48）mm and 41% of superior reeus muscle involved, the lateral rectus muscle was （5.40±0. 10）mm and 27.5% of lateral reeus muscle involved. There was significant difference between the extraocular muscle thickness （P〈0.05）. Conelusion Ultrasound measurement is a safe, accurate and practical method of diagnosing thyroid-related immune orbitopathy.

关 键 词：甲状腺眼病 超声检查 眼外肌 

分 类 号：R445.1[医药卫生—影像医学与核医学] R771.3[医药卫生—诊断学]