| 超声血管造影在屈光间质混浊时对玻璃体积血和视网膜脱离的鉴别价值 |
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| 引用本文： | 万灵,董明蓉,钟捷,刘三梅,周青. 超声血管造影在屈光间质混浊时对玻璃体积血和视网膜脱离的鉴别价值[J]. 眼科新进展, 2015, 0(7): 637-639. DOI: 10.13389/j.cnki.rao.2015.0173 |
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| 作者姓名： | 万灵 董明蓉 钟捷 刘三梅 周青 |
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| 作者单位： | 610072 四川省成都市，四川省医学科学院?四川省人民医院眼科 |
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| 摘 要： | 目的 探讨超声血管造影在屈光间质混浊的情况下，对鉴别玻璃体积血和视网膜脱离的应用价值。方法 对纳入研究的对象术前均行超声血管造影检查，择期行玻璃体切割手术，将术中诊断结果与超声血管造影诊断结果进行对比，评估超声血管造影鉴别玻璃体积血和视网膜脱离的准确性。结果 术前超声血管造影诊断玻璃体积血１７眼，诊断视网膜脱离１４眼；术中诊断玻璃体积血１９眼，诊断视网膜脱离１２眼。超声血管造影对视网膜脱离的诊断敏感度为１００．００％，特异度为８９．４７％，诊断准确率为９３．５５％。对于玻璃体积血，其诊断敏感度为８９．４７％，特异度为１００．００％，诊断准确率为９３．５５％。结论 在屈光间质混浊的情况下，超声血管造影有助于鉴别玻璃体积血与视网膜脱离，可为临床的诊断与治疗提供可靠依据，具有重要的临床应用价值。
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| 关 键 词： | 超声血管造影 玻璃体积血 视网膜脱离 鉴别 |
Differential diagnostic value of ultrasound angiography in vitreous hemorrhage and retinal detachment with refractive stroma turbidity |
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| WAN Ling,DONG Ming-Rong,ZHONG Jie,LIU San-Mei,ZHOU Qing. Differential diagnostic value of ultrasound angiography in vitreous hemorrhage and retinal detachment with refractive stroma turbidity[J]. Recent Advances in Ophthalmology, 2015, 0(7): 637-639. DOI: 10.13389/j.cnki.rao.2015.0173 |
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| Authors: | WAN Ling DONG Ming-Rong ZHONG Jie LIU San-Mei ZHOU Qing |
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| Affiliation: | Department of Ophthalmology , Sichuan Provincial People ’ s Hospital, Chengdu 610072 ,Sichuan Province , China |
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| Abstract: | Objective To study the differential value of ultrasound angiography in vitreous hemorrhage and retinal detachment with refractive stroma turbidity. Methods All patients underwent vitrectomy after ultrasound angiography diagnosis, and then definitive diagnosis was made during surgery. These two diagnosis were compared to evaluate the accuracy of ultrasound angiography in differentiating vitreous hemorthage and retinal detachment. Results There were 17 eyes and 14 eyes diagnosed as vitreous hemorrhage and retinal detachment by ultrasound angiography before operations. And there were 19 eyes and 12 eyes diagnosed as vitreous hemorrhage and retinal detachment during surgery. The diagnostic sensitivity of diagnosed as vitreous hemorthage and retinal detachment for retinal detachment was 100. 00% ,the specificity was 89. 47% . and the diagnostic accuracy was 93. 55% . As to vitreous hemorrhage , the sensitivity was 89. 47% , the specificity was 100. 00% , and the accuracy was 93. 55% . Conclusion In the case of refractive stroma turbidity, ultrasound angiography can help differentiating vitreous hemorrhage and retinal detachment , providing reliable basis for clinical diagnosis and treatment , which has the important value in clinical application. |
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| Keywords: | ultrasound angiography vitreous hemorrhage retinal detachment identify |
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