60例FEVR患眼B型超声图像分析

发布时间：2018-01-24 06:44

本文关键词： FEVR B型超声检查眼底检查镰状视网膜脱离　出处：《中国超声医学杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的分析B型超声检查在家族性渗出性玻璃体视网膜病变(FEVR)诊断中的价值。方法回顾性分析60例FEVR患儿眼B型超声形态学特点,并与其眼底检查结果进行对照分析。结果双眼累及53例,单眼7例。超声图像正常14眼;全视网膜脱离54眼;局限视网膜脱离3眼;镰状视网膜脱离26眼(占22%),超声纵行扫查呈现连于视盘和周边球壁前的新月形膜样回声,其中24眼位于颞侧;单纯玻璃体增殖条索或视盘颞侧球壁回声增厚16眼;单纯玻璃体点状弱回声7眼。超声检查和眼底检查对疾病分级结果对应良好(符合率为82.5%,Kappa值为0.92)。结论除单纯周边血管异常外,B型超声能良好反映FEVR患眼的各种玻璃体视网膜病变。虽无特异性,但镰状视网膜脱离尤其发生在双眼颞侧时应高度怀疑FEVR可能。对侧眼玻璃体少量混浊提示存在周边无血管区及渗漏可能。
[Abstract]:Objective to analyze the value of B-mode ultrasonography in the diagnosis of familial exudative vitreoretinopathy (FEVR). Results 53 cases of binocular involvement and 7 cases of monocular involvement were compared with the results of fundus examination. 54 eyes with total retinal detachment; 3 eyes with limited retinal detachment; Twenty-six eyes (22 eyes) of sickle retinal detachment showed crescent membrane echo connected to the optic disc and the peripheral bulbar wall, 24 eyes were located in the temporal side. 16 eyes were thickened by simple vitreous proliferative cord or temporal bulbar wall of optic disc. The results of ultrasound and fundus examination were good (the coincidence rate was 82.5) and Kappa value was 0.920.Conclusion in addition to the simple peripheral vascular abnormalities. B-mode ultrasound can well reflect all kinds of vitreoretinopathy in FEVR eyes, although there is no specificity. However, the possibility of FEVR should be highly suspected when sickle retinal detachment occurs especially in the temporal side of the eyes. A small amount of opacity in the vitreous body of the contralateral eye suggests that there is no peripheral vascular area and the possibility of leakage.
【作者单位】：上海交通大学医学院附属新华医院眼科;
【分类号】：R774.1;R445.1
【正文快照】： 结论除单纯周边血管异常外,B型超声能良好反映FEVR患眼的各种玻璃体视网膜病变。虽无特异性,但镰状视网膜脱离尤其发生在双眼颞侧时应高度怀疑FEVR可能。对侧眼玻璃体少量混浊提示存在周边无血管区及渗漏可能。家族性渗出性玻璃体视网膜病变(familial exu-dative vitreoretino

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