三种方法测量原发性急性闭角型青光眼前房深度的研究  

Measurement of anterior chamber depth with three methods in patients with primary acute angle-closure glaucoma

作　　者：梁宗宝[1] 李维娜[1] 李超[1] 

机构地区：[1]中国人民解放军第180医院眼科,中国福建省泉州市362000

出　　处：《国际眼科杂志》2016年第6期1156-1158,共3页International Eye Science

摘　　要：目的:探讨A超、超声生物显微镜(ultrasonic biological microscope,UBM)及眼前节分析仪(Pentacam)测量原发性急性闭角型青光眼(acute primary angle-closure glaucoma,APACG)中央前房深度(central anterior chamber depth,ACD)的研究。方法:选取APACG患者35例35眼,采用A超、UBM及Pentacam测量其中央ACD。结果:A超、UBM及Pentacam测量APACG的ACD值分别为1.5633±0.2089、1.5783±0.2067、1.6275±0.2296mm,结果经levene方差齐性检验方差齐,LSD-t方法进行两组间多重比较,差异具有统计学意义(F=4.074,P=0.026)。A超与UBM、A超与Pentacam、UBM与Pentacam的ACD比较,差异具有统计学意义(P=0.032、0.023、0.012)。应用Bland-Altman分析显示,三种方法相互间一致性较差。结论:三种方法测得APACG的ACD,Pentacam测得的结果最大,其次是UBM,A超测得的结果最小。在临床上A超、UBM及Pentacam检查具有各自不同的优势,可以相互弥补,不能取代,在临床工作中应把这三者优势结合起来,综合分析,才能得出更准确的结果。AIM ： To investigate the measurement of central anterior cham ber depth（ ACD） in patients with acute prim ary angle-closure glaucom a（ APACG） with A-scan ultrasound, Pentacam and ultrasonic biological m icroscope（ UBM）.METHODS： Thirty-five patients（ 35 eyes） with APACG were selected,of whom central ACD were m easured with A-scan ultrasound,Pentacam and UBM.RESULTS： The measurement values of ACD with A-scan ultrasound,UBM and Pentacam were 1. 5633±0. 2089,1. 5783 ± 0. 2067,1. 6275 ± 0. 2296 m m, which was equal variance tested by the hom ogeneity of variance,and was significant different by m ultiple com parision（ F= 4. 074,P =0. 026）. The difference of ACD between the two groups of A-scan ultrasound and UBM,A-scan ultrasound and Pentacam, UBM and Pentacam were statistically significant（ P = 0. 032,0. 023,0. 012）. Altm an-Bland analysis showed that the three m ethods were not consistent with each other.CONCLUSION： The ACD value of the APACG with the three m ethods is the largest using Pentacam,followed by UBM and A-scan ultrasound. In clinical the three m ethods with different advantages can com plem ent eachother,but cannot be replaced. In order to obtain m ore accurate results,we should com bine the advantage and m ake com prehensive analysis.

关 键 词：A超 超声生物显微镜 眼前节分析仪 原发性急性闭角型青光眼 中央前房深度 

分 类 号：R775.2[医药卫生—眼科]