彩色多普勒超声在玻璃体积血诊断中的应用  

Application of high-frequency color Doppler flow imaging in pre-operative diagnosis of vitreous hemorrhage

作　　者：刘东宁[1] 

机构地区：[1]中国辽宁省沈阳市第四人民医院眼科,110031

出　　处：《国际眼科杂志》2012年第5期982-983,共2页International Eye Science

摘　　要：目的:评价高频彩色多普勒超声(color doppler flow imaging,CDFI)在辅助玻璃体积血(vitreous hemorrhage,VH)术前病因诊断中的应用价值。方法:对20例20眼二维超声图像上表现VH的患眼,通过CDFI和眼底及既往病史进行术前诊断。所有患者均行玻璃体切割手术,结合术中所见和术后荧光素血管造影、吲哚青绿造影进行术后诊断。结果:VH患眼20例20眼CDFI检出视网膜脱离5例(25%),视网膜脱离合并脉络膜脱离2眼(10%),视网膜下出血2眼(10%)。经手术证实,增殖性糖尿病视网膜病变7例(35%),视网膜中央/分支静脉阻塞7例(35%),孔源性视网膜脱离3例(15%),年龄相关性黄斑变性1例(5%),息肉样脉络膜视网膜病变1例(5%),Eale's病1例(5%)。术前诊断和术后诊断符合率为95%(19/20)。结论:高频CDFI可辅助VH术前病因判断,并有效地指导临床治疗。AIM： To evaluate application value of high-frequency color doppler flow imaging （CDFI） on the pre-operative diagnosis of vitreous hemorrhage. METHODS：High-frequency CDFI was performed on 20 patients （20 eyes） with vitreous hemorrhage（VH）. Pre-operative diagnosis was given by CDFI, fundus examination and previous history. All patients were performed vitrectomy. Post-operative diagnosis was based on observation during operation, post-operative fluorenscense angiography and indocaine angiography. RESULTS：In these 20 eyes with VH, there were 5 eyes （25%） with retinal detachment, 2 eyes （10% ） with retinal detachment and choroidal detachment, and 2 eyes （10%） with subretinal hemorrhage. It was evidenced by operation that there were 7 cases （35%） with proliferative diabetic retinopathy, 7 cases （35%） with central or branch retinal vein occlussion, 3 cases （15%） with rhegmatogenous retinal detachment, 1 cases （5%） with age-related macular degeneration, 1 case （5%） with polypoid chorioretinopathy, and 1 case （5%） with Eale＇s disease. The CDFI results of 19 eyes among 20 eyes （95%） were consistent with the observation in surgical operation. CONCLUSION：High-frequency CDFI can contribute to preoperative judgment for the cause of VH, and to effectively guide clinical treatment.

关 键 词：高频彩色多普勒 超声检查 玻璃体积血 

分 类 号：R445.1[医药卫生—影像医学与核医学]