眼B型超声诊断早期视网膜裂孔的临床价值  

The clinical value of ocular B-mode ultrasound in diagnosing early retinal tear

作　　者：赵羽丹 ZHAO Yu-dan(Medical Imaging Department,Shenyang Aier Eye Hospital Co.,Ltd.,Shenyang 110000,China)

机构地区：[1]沈阳爱尔眼科医院有限公司医学影像科,110000

出　　处：《中国实用医药》2021年第34期69-71,共3页China Practical Medicine

摘　　要：目的分析眼B型超声诊断早期视网膜裂孔的效果。方法32例(眼)视网膜裂孔患者,所有患者均展开眼B超检查,分析B超检查结果、裂孔发生部位和B超检查声像图特征。结果32例患者中,马蹄形裂孔合并视网膜脱落12例(37.50%),干性马蹄形裂孔18例(56.25%),巨大裂孔2例(6.25%)。32例患者中,裂孔发生在鼻侧1例(3.13%),颞下方9例(28.13%),颞上方22例(68.75%)。①马蹄形裂孔合并视网膜脱离:视网膜光带中断呈连续性,双侧断端伴有垂直距离与水平距离,镜下裂孔部位存在拉开现象,且伴有错位,有些断端可以发现卷曲增厚现象。②干性马蹄形裂孔:经B超检查提示,玻璃体腔中存在光带回声,但是较短,而球壁前侧伴有间断的回声光带,另一侧与周边连接,于玻璃体腔中表现为弯曲现象,弧形短光带状回声无显著后运动,同时与球壁间可见液性暗区。③巨大裂孔:后缘经裂孔双角反折到后方,前缘与后缘翻卷到玻璃体方向,呈勾状,光带存在海马状或者发夹状。结论早期视网膜裂孔应用眼B型超声诊断可反映患者病情变化,尤其对于屈光间质混浊患者,可根据诊断结果实施相应治疗,有助于遏制患者病情进展,提高治疗效果,值得临床应用与推广。Objective To analyze the effect ocular B-mode ultrasound in diagnosing early retinal tear.Methods In 32 patients(eyes)with retinal tears,all patients underwent ocular B-mode ultrasound examination,and the results of the B-ultrasound,the location of the tear,and ultrasonographic characteristics of B-ultrasound were analyzed.Results Among the 32 patients,there were 12 cases(37.50%)with horseshoe-shaped tear and retinal detachment,18 cases(56.25%)with dry horseshoe-shaped tear,and 2 cases(6.25%)with giant tear.Among the 32 patients,the tears occurred in 1 case(3.13%)on the nasal side,9 cases(28.13%)in the inferior temporal,and 22 cases(68.75%)in the superior temporal.①Horseshoe-shaped tear and retinal detachment:the interruption of retinal light band was continuous,and the bilateral broken ends were accompanied by vertical distance and horizontal distance.Under the microscope,the tear was pulled apart and accompanied by dislocation.Curl thickening could be found at some broken ends.②Dry horseshoe-shaped tear:B-ultrasound examination showed that there was light band echo in the vitreous cavity,but it was short,and there was intermittent echo light band in the front of the spherical wall,and the other side was connected with the periphery,which showed a bending phenomenon in the vitreous cavity.There was no significant back movement of arc short light band echo,and a liquid dark area could be seen between the spherical wall and the vitreous cavity.③Giant tear:the posterior edge was folded back to the rear through the double corners of the tear,and the anterior and posterior edges were rolled up to the vitreous direction in a hook shape,with light bands in the shape of hippocampus or hairpin.Conclusion The diagnosis of early retinal tear by ocular B-ultrasound can reflect the changes of the disease,especially for patients with refractive interstitial opacity,and the corresponding treatment can be implemented according to the diagnosis results.It is helpful to control the progress of the disease and improve the th

关 键 词：眼B型超声 早期视网膜裂孔 视网膜脱离 

分 类 号：R774.1[医药卫生—眼科]