高频彩色多普勒超声在严重眼外伤中的应用  

Application of high frequency color Doppler flow imaging in severe ocular injury

作　　者：陈洁玲[1] 吴京红[1] 

机构地区：[1]中山大学中山眼科中心超声波室,广东广州510060

出　　处：《眼外伤职业眼病杂志》2010年第11期804-807,共4页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的评价应用彩色多普勒超声提高严重眼外伤的诊断水平。方法对30例(30眼)严重眼外伤患眼二维超声图像上表现较混乱的眼内病理膜、眼眶组织结构通过高频彩色多普勒显像(CDFI),清楚显示出视网膜、脉络膜及机化膜的血流情况。结果 30例(30眼)严重眼外伤检出视网膜脱离、脉络膜脱离8眼,占26.67%,合并视网膜脱离、脉络膜脱离、眶内血肿3眼,占10.00%;合并视网膜脱离、脉络膜脱离、眼部异物13眼,占43.33%(眼内异物10眼,眶内异物3眼);合并出血性脉络膜脱离5眼,占16.67%;眼眶血管异常(颈动脉海绵窦瘘1眼,占3.33%。经手术证实,符合率(28/30)93.33%。结论高频彩色多普勒超声可显著提高严重眼外伤的诊断水平,并有效地指导临床治疗。Objective To evaluate color Doppler flow imaging on the diagnosis of severe ocular injury. Methods Color Doppler flow imaging （CDFI） was performed on 30 patients （30 eyes） with severe ocular injury.Morphologic characteristic of the intraocular structures and features of blood flow of retina and chorioid were observed. Results In these 30 eyes with severe ocular injury,there were 8 eyes （26.67%） with detachment of retina and chorioid,3 eyes（10%）with intraorbital hematoma and detachment of retina and chorioid,13 eyes （43.33%） with foreign body and detachment of retina and chorioid,among which there were 10 eyes with intraocular foreign body and 3 eyes with intraorbital foreign body,5 eyes（16.67%） with hemorrhagic detachment of chorioid,1 eye（3.33%） with carotid-cavernous fistula. The CDFI results of 28 eyes among 30 eyes（93.33%） were accordant with the observation in surgical operation. Conclusion Color Doppler flow imaging can significantly increase the detection rate of severe ocular injury.

关 键 词：高频彩色多普勒 超声检查 眼外伤 

分 类 号：R779.12[医药卫生—眼科]