外伤性前房积血眼前段损伤的超声生物显微镜诊断分析  

The examination by ultrasound biomicroscopy in anterior segment injury of traumatic hyphema

作　　者：傅东红[1] 孙建初[1] 李卫[1] 李赟[1] 徐建伟[1] 谢田华[1] 

机构地区：[1]南京医科大学附属无锡市人民医院眼科,无锡214023

出　　处：《中华眼外伤职业眼病杂志》2012年第1期46-49,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨眼球闭合性损伤后前房积血时眼前段的超声生物显微镜（UBM）表现，分析外伤后前房积血产生的原因。方法对闭合性损伤后的前房积血患者而行UBM检查的79例（79眼）进行回顾性分析，观察其合并眼前段损伤的形态学变化情况。结果79例前房积血中合并有虹膜根部断离12眼（13．58％），房角后退46眼（58．23％），睫状体脱离38眼（48．10％），睫状体分离房角漏7眼（8．86％）。结论前房角和睫状体的损伤是外伤性前房积血的主要原因。UBM对外伤性前房积血者跟前段损伤的诊断具有较高的参考价值。Objective To summarize the performance of the anterior segment of ultrasound biomicroscopy （UBM） in diagnosis of hyphema after blunt trauma and analyze the causes of traumatic hyphema. Methods Seventy-nine eyes of 79 patients with hyphema after ocular closed injury were examined by ultrasound biomicroscopy, the retrospective analysis morphological changes of anterior segment. Results Seventy-nine patients with hyphema were associated with iridodialysis in 12 eyes （ 13.58% ）, angle recession in 46 eyes （58. 23%）, ciliary body detachment in 38 eyes （48. 10%）, cyclodialysis cleft in 7 eyes （8.86%）. Conclusion The anterior chamber angle and the ciliary body damage of traumatic hyphema is the main reason of hyphema. On traumatic hyphema UBM has a high reference value when the diagnosis of anterior segment injuries.

关 键 词：超声生物显微镜 前房积血 眼前段 诊断 

分 类 号：R779.1[医药卫生—眼科]