超声生物显微镜在钝挫伤眼前节诊断的应用  

The Application of Ultrasound Biomicroscope in Diagnosis of Anterior Segment After Blunt Trauma

作　　者：吴迪清[1] 李秀云[2] 王杰[2] 朱艳[2] 李勤新[2] 

机构地区：[1]潍坊医学院眼科学教研室,山东潍坊261042 [2]潍坊医学院附属医院眼科中心

出　　处：《潍坊医学院学报》2009年第1期55-56,共2页Acta Academiae Medicinae Weifang

摘　　要：目的观察闭合性眼外伤眼前节损害的超声生物显微镜(UBM)扫描图像特点,评价UBM在眼球钝挫伤急性期眼前节诊断中的临床意义及其应用价值。方法对在我院就诊的65例眼球钝挫伤患者行眼科UBM检查,分别行中央及12个方位的图像检查,结合临床和眼科B超检查了解眼球钝挫伤患者眼前节组织的变化与损害。结果眼科常规检查在眼外伤致屈光间质浑浊时,影响对眼前节的观察;眼科B超由于分辨率低,对眼前节疾病的诊断阳性率最低;UBM阳性率最高。结论UBM对眼球钝挫伤眼前节的诊断具有很高的应用价值,尤其对于外伤较重,前房积血明显、眼内结构不清的患者,可起到很好的协助诊断作用,减少了眼前节挫伤中的漏诊和误诊。Objective To study the image characteristics of ultrasound biomicroscope （ UBM ） in anterior segment contusion and to evaluate the clinical application of UBM in diagnosis of this disease. Methods Sixty five eyes with anterior segment contusion were regularly examined by UBM （ the center and twelve positions of anterior segment） combining with ophthalmic examination and B-scan so as to find out the change and damage in anterior segment. Results The result showed that UBM can find most disease in anterior segment contusion. Conclusions The result suggests that UBM can play an effective role in diagnosis of anterior segment contusion.

关 键 词：超声生物显微镜(UBM) 眼前节 诊断 

分 类 号：R779.12[医药卫生—眼科]