超声生物显微镜在超声睫状体成形术中的应用  

Application of ultrasound biomicroscopy in ultrasound cycloplasty

作　　者：杜梅 律鹏[1,2] 刘佳卉 王雅东[1,2] Du Mei;Lyu Peng;Liu Jiahui;Wang Yadong(Department of Ophthalmology,The Second Hospital of Lanzhou University,Lanzhou 730030,China;The Second Clinical Medical School,Lanzhou University,Lanzhou 730030,China)

机构地区：[1]兰州大学第二医院眼科,甘肃兰州730030 [2]兰州大学第二临床医院,甘肃兰州730030

出　　处：《兰州大学学报（医学版）》2024年第4期48-52,共5页Journal of Lanzhou University（Medical Sciences）

基　　金：甘肃省科技计划资助项目(20JR10FA669)。

摘　　要：目的 探讨超声生物显微镜在超声睫状体成形术中的应用。方法 采用回顾性病例分析方法,纳入2020年8月—2021年7月在兰州大学第二医院眼科进行超声睫状体成形术的23例青光眼患者,对比术眼术前、术后1周、术后1个月、术后3个月的超声生物显微镜检查结果,记录分析不同时间段睫状体与睫状突形态学上的差异。结果 23例患者术前平均眼压为(44.83±6.25) mmHg,术后1周平均眼压降低了38.9%,术后1个月平均眼压降低了43.2%,术后3个月平均眼压降低了43.8%,差异均有统计学意义(P <0.001)。超声生物显微镜检查发现青光眼患者在超声睫状体成形术术前和术后不同时间中睫状突厚度,睫状突数量均有变化,与术前相比,术后不同时间段睫状突厚度减小,睫状突数量减少,差异均具有统计学意义(P <0.05)。结论 超声生物显微镜可准确观察睫状体的形态学变化,并可以定量分析,对超声睫状体成形术术前与术后睫状体形态学的观察效果明显,临床上可以用于指导超声睫状体成形术治疗参数的设定,并预判术后的治疗疗效。Objective To investigate the application of ultrasound biomicroscopy in observing the morphologi-cal changes of the ciliary body before and after ultrasound cycloplasty.Methods A retrospective observation approach was employed,and included in the study were 23 glaucoma patients who had undergone ultrasound ciliary process ablation treatment at The Second Hospital of Lanzhou University from August 2020 to July 2021.Ultrasound biomicroscopy was performed preoperatively and postoperatively at one week,one month,and three months after ultrasound cycloplasty.The morphological differences in the ciliary body and ciliary processes at different time points were recorded and analyzed.Results In the 23 cases,the average preopera-tive intraocular pressure was(44.83±6.25)mmHg,with a mean intraocular pressure reduction of 38.9%at 1 week postoperatively,43.2%at 1 month and 43.8%at 3 months,all showing statistically significant differ-ences(P<0.001).Ultrasound biomicroscopy revealed changes in the thickness and number of ciliary processes in glaucoma patients before and after ultrasound cycloplasty surgery at different time points.Compared to pre-operative values,the ciliary process thickness decreased and ciliary process number decreased at different postoperative time points,with statistically significant differences(P<0.05).Conclusion ultrasound biomi-croscopy allows accurate observation and quantitative analysis of the morphological changes in the ciliary body.It demonstrates a clear effect in observing the morphological changes during ultrasound cycloplasty,providing valuable guidance for setting treatment parameters during ultrasound cycloplasty and predicting postoperative therapeutic efficacy in clinical practice.

关 键 词：超声生物显微镜 超声睫状体成形术 睫状体 睫状突厚度 睫状突数量 形态学改变 

分 类 号：R770.4[医药卫生—眼科]