超声生物显微镜诊断眼前段板栗刺异物  

Ultrasound biomicroscopy imaging for diagnosing chestnut thorn foreign bodies in anterior segment

作　　者：路璐 王影[4] 张驰 付天英 郭金喜 魏炜 路英文 LU Lu;WANG Ying;ZHANG Chi;FU Tianying;GUO Jinxi;WEI Wei;LU Yingwen(Department of Ophthalmic Special Examination,Hebei Eye Hospital,Xingtai 054000,China;Hebei Provincial Key Laboratory of Ophthalmology,Xingtai 054000,China;Hebei Provincial Clinical Research Center for Eye Diseases,Xingtai 054000,China;Department of Gland Surgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Medical Imaging,Hebei Eye Hospital,Xingtai 054000,China;Department of Anesthesiology,Hebei Eye Hospital,Xingtai 054000,China;Department of Pathology,Shahe People’s Hospital,Xingtai 054001,China)

机构地区：[1]河北省眼科医院眼特检科,河北邢台054000 [2]河北省眼科学重点实验室,河北邢台054000 [3]河北省眼部疾病临床医学研究中心,河北邢台054000 [4]河北医科大学第二医院腺体外科,河北石家庄050000 [5]河北省眼科医院医学影像科,河北邢台054000 [6]河北省眼科医院麻醉科,河北邢台054000 [7]沙河市人民医院病理科,河北邢台054001

出　　处：《中国介入影像与治疗学》2024年第12期752-755,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察超声生物显微镜(UBM)成像诊断眼前段板栗刺异物的价值。方法回顾性收集因板栗刺扎伤或取出眼部板栗刺后残留异物而接受眼UBM检查及其后手术治疗的70例患者,基于UBM测量异物距角膜缘距离及其结膜下深度、长度;以手术所见为标准,评估UBM诊断眼前段板栗刺异物的效能,分析异物定量参数之间的相关性。结果UBM检出的70例眼前段板栗刺异物中,5例眼部单一组织(5/70,7.14%)受累,65例眼部多组织(65/70,92.86%)受累。UBM共检出109枚异物,98枚与手术所见相符,诊断准确率为89.91%(98/109);11枚术中未见,假阳性率为10.09%(11/109);4枚UBM未见而术中探查发现并摘除,假阴性率为3.92%(4/102)。98枚UBM正确诊断的板栗刺异物中,10枚位于角膜基质层内(10/98,10.20%);88枚位于眼球壁(88/98,89.80%),其中43枚位于结膜下(43/88,48.86%)、45枚位于巩膜内(45/88,51.14%),中位长度0.200 mm,与角膜缘的距离为(2.963±1.504)mm,结膜下深度为(0.785±0.388)mm。眼球壁异物与角膜缘距离及结膜下深度呈正相关(r_(s)=0.361,P<0.010),异物长度则与异物至角膜缘距离及其结膜下深度均无明显相关(P均>0.05)。结论UBM成像可用于临床诊断及定位眼前段板栗刺异物。Objective To observe the value of ultrasonic biomicroscopy(UBM)imaging for diagnosing chestnut thorn foreign bodies in anterior segment.Methods A total of 70 patients who underwent UBM examination due to chestnut thorn injury or residue of chestnut thorn after removal and then operation were retrospectively enrolled.The distance of chestnut thorn foreign bodies from corneal limbus,and the subconjunctival depth and length of them were measured based on UBM imaging.The efficacy of UBM for diagnosing chestnut thorn foreign bodies in anterior segment was evaluated according to surgical findings,and the correlation of quantitative parameters of foreign bodies were analyzed.Results Among 70 cases of chestnut thorn foreign bodies in anterior segment,single ocular tissue(5/70,7.14%)involvement was detected in 5 cases,while multiple ocular tissues involvement(65/70,92.86%)were noticed in 65 cases according to UBM.Totally 109 foreign bodies were detected by UBM,among which 98 were consistent with surgical findings,with the diagnostic accuracy of 89.91%(98/109),while 11 foreign bodies were not found during operation,with the false positive rate of 10.09%(11/109).Meanwhile,4 foreign bodies found and removed with operation were not displayed with UBM,and the false negative rate of UBM was 3.92%(4/102).Among 98 chestnut thorn foreign bodies correctly diagnosed with UBM,10 located in stromal layer of cornea(10/98,10.20%)and 88 located in ocular wall(88/98,89.80%),including 43 subconjunctival(43/88,48.86%)and 45 sclerotic(45/88,51.14%)foreign bodies,with the median length of 0.200 mm.The distance of 88 foreign bodies in ocular wall from corneal limbus was(2.963±1.504)mm,and the subconjunctival depth was(0.785±0.388)mm.The distance of foreign bodies from corneal limbus were positively correlated with their subconjunctival depth(r_(s)=0.361,P<0.010),while their lengths were not correlated with their distance from corneal limbus and subconjunctival depth(both P>0.05).Conclusion UBM imaging was valuable for clinical diagnosis and

关 键 词：眼异物 诊断 显微镜检查 声学 

分 类 号：R770.4[医药卫生—眼科] R445.1[医药卫生—临床医学]