眼弓蛔虫病患眼B型超声图像分析

发布时间：2018-04-29 15:33

本文选题：眼弓蛔虫病 + B型超声检查　；参考：《中国超声医学杂志》2017年07期

【摘要】：目的分析眼弓蛔虫病(OT)患眼的B型超声表现及其超声诊断价值。方法回顾分析50例OT患眼的超声形态学表现及其临床分型特征。结果超声表现包括全视网膜脱离12眼,局限牵引性视网膜脱离6眼,镰状视网膜皱褶5眼,玻璃体炎性渗出29眼,增殖条索14眼,球壁局限增厚或中高回声团块隆起19眼(后极部16眼,周边部3眼)。临床分型包括慢性眼内炎型16眼,以玻璃体炎性混浊、分层树枝样条索、全视网膜脱离为主要超声表现;后部肉芽肿型12眼,以后极部球壁局限增厚、团块隆起、局部牵引性视网膜脱离为主要表现;周边肉芽肿型18眼,以镰状视网膜皱褶、周边牵引性视网膜脱离为主要表现;混合型4眼,兼具后部和周边肉芽肿型特点。结论 B型超声能较好反映地OT患眼的各种玻璃体视网膜病变,但易漏诊周边肉芽肿。儿童单眼视网膜局限中高回声团块伴玻璃体分层树枝状条索应高度怀疑OT可能。
[Abstract]:Objective to analyze the B-mode ultrasonography and its diagnostic value. Methods the ultrasonic morphology and clinical classification of 50 patients with OT were retrospectively analyzed. Results Ultrasonic findings included total retinal detachment in 12 eyes, limited traction retinal detachment in 6 eyes, sickle retinal fold in 5 eyes, vitreoinflammatory exudation in 29 eyes, proliferative cord in 14 eyes. The bulbous wall was locally thickened or hyperechoic in 19 eyes (16 eyes in the posterior pole and 3 eyes in the periphery). The clinical classification included chronic endophthalmitis in 16 eyes, with vitreous inflammatory opacity, stratified dendritic cord, retinal detachment as the main ultrasonic manifestation, posterior granulomatous type in 12 eyes, the posterior polar bulbar wall was localized thickened, and the bulge was raised. Local traction retinal detachment was the main manifestation; peripheral granulomatous type 18 eyes, sickle retinal fold, peripheral traction retinal detachment as the main manifestation; mixed type 4 eyes, both posterior and peripheral granulomatous characteristics. Conclusion B-mode ultrasound can reflect all kinds of vitreoretinopathy, but it is easy to miss the diagnosis of peripheral granuloma. In children with monocular retinal hyperechoic mass and vitreous stratified dendritic cord, the possibility of OT is highly suspected.
【作者单位】：上海交通大学医学院附属新华医院眼科;
【分类号】：R445.1;R779.1

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