脉络膜上腔出血的超声波和彩色多普勒检查  

Inspection of suprachoroidal hemorrhage using B-ultrasonography and Color Doppler songraphy

作　　者：任勇[1] 魏文斌[1] 杨文利[1] 王兰[1] 

机构地区：[1]北京同仁医院眼科

出　　处：《临床眼科杂志》1999年第2期102-103,共2页Journal of Clinical Ophthalmology

摘　　要：目的总结脉络膜上腔出血的超声波和彩色多普勒显像特点及其临床价值。方法使用美国ＳｏｎｏｍｅｄＡ／Ｂ２５００眼科专用超声诊断仪和德国ＳＩＥＭＥＮＳｓｏｎｌｎｅｖｅｒｓａ多功能彩色多普勒超声诊断仪检查１４例内眼手术后发生的驱逐性脉络膜上腔出血患者，对其显像特点及血流信号进行分析。结果１４例患者均经超声波检查（其中５例行彩色多普勒检查）明确了脉络膜上腔出血的诊断，其中完全性出血１０例，部分性出血４例，经１～３次超声波检查，出血１周后血凝块开始液化，其中１３例于出血后平均１５．４天再次手术证实血凝块液化。结论超声波和彩色多普勒检查对脉络膜上腔出血的诊断有较大的价值，在了解血凝块是否液化、出血范围及玻璃体视网膜状态等方面为治疗提供重要依据；Objective To evaluate the specificity and clinical values of the images of B-ultrasonography and Color Doppler Sonography CDS used for the inspection of suprachoroidal hemorrhage SH.Method 14 case of SH occurring after intraocular surgery were inspected by B-ultrasonography and CDS.The images and signals of blood flow were analyzed.Results All the 14 case were diagnosed as SH by B-ultrasonography 5 case by CDS.10 of the 14 case were complete hemorrhage,others were local hemorrhage.Inspected by ultrasonography 1-3 times,the gores of 14 case began to liquified after 1week of hemorrhage,and 13 case were verified by secondary surgery in mean 15.4 days.Conclusion B-ultrasonography and CDS have important clinical values in diagnosis of SH,especially in determing the liquified gores,the range of hemorrhage,and the shapes of retina and vitreum.

关 键 词：脉络膜出血 超声波诊断 彩超 术后并发症 

分 类 号：R779.120.4[医药卫生—眼科] R779.606[医药卫生—临床医学]