超声造影在诊断困难的视网膜脱离、脉络膜脱离及眼内肿块中的应用

doi:10.6040/j.issn.1673-3770.0.2015.420

山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (2): 91-93.doi: 10.6040/j.issn.1673-3770.0.2015.420

超声造影在诊断困难的视网膜脱离、脉络膜脱离及眼内肿块中的应用

乔岗^1,2,代艳¹,郭海科²,郭道林³,卫云峰³,李娟³

1.绵阳市中心医院眼科;
2. 南方医科大学附属广东省人民医院眼科, 广东广州 510080;
3. 绵阳市中心医院超声科, 四川绵阳 621000

收稿日期:2015-10-13 出版日期:2016-04-16 发布日期:2016-04-16
通讯作者: 郭海科. E-mail:qiaogang3@hotmail.com E-mail:qiaogang3@hotmail.co
作者简介:乔岗. E-mail: qiaogang3@hotmail.co
基金资助:
绵阳市卫生局项目(201219)

The use of CEUS in the diagnosis of retinal/choroidal detachment and associated intraocular masses in patients with equivocal findings at conventional ultrasound.

QIAO Gang^1,2, DAI Yan¹, GUO Haike², GUO Daolin³, WEI Yunfeng³, LI Juan

1. Department of Ophthalmology, Mianyang Central Hospital, Mianyang 621000, Sichuan, China;2. Department of Ophthalmology, Guangdong General Hospital Affiliated to Southern Medical University, Guangzhou 510080, Guangdong, China;3. Department of Ultrasound, Mianyang Central Hospital, Mianyang 621000, Sichuan, China

Received:2015-10-13 Online:2016-04-16 Published:2016-04-16

摘要/Abstract

摘要： 目的探讨超声造影在眼科常规检查诊断困难的视网膜脱离、脉络膜脱离及眼内肿块病例中鉴别诊断的应用。方法收集绵阳市中心医院眼科2012 年1月至2014年12月因屈光介质不清、瞳孔膜闭等因素导致眼科常规眼底检查及眼部B超诊断困难并采用超声造影检查的21例的临床资料,分析超声造影检查的影像学特征,并与最终手术中诊断结果及病理结果比较。结果 21例诊断困难的病例经超声造影诊断为视网膜脱离8例,脉络膜脱离6例,玻璃体混浊4 例,脉络膜肿瘤3例;与最终手术中或病理检查结果相符合。常规检查漏诊及误诊6例。结论超声造影能成功的检查出视网膜脱离、脉络膜脱离及眼内肿块的临床特征,用于眼部检查安全有效,对于常规检查存在困难的病例有一定帮助。

关键词: 视网膜脱离, 脉络膜脱离, 超声造影, 眼内肿瘤

Abstract: Objective To investigate whether contrast-enhanced ultrasound(CEUS)may help to diagnose retinal/choroidal detachment and may help to differentiate intraocular lumps in cases with equivocal features on conventional test and ultrasound. Method Clinical data of 21 patients with unclear dioptricmedia or pupillary occlusion who underwent CEUS of the eye to assess retinal/choroidal detachment and/or associated masses were analysised. The radiologic characteristic of these patients were described. The diagnosis accuracy rating of CEUS were contrasted with conventional ultrasound. Results According to the reference standard, 8 patients had retinal detachment, 6 had choroidal detachment, and 4 had vitreous opacity. There were 3 cases associated choroidal tumor. There were 6 missed diagnosis and misdiagnose. Conclusions CEUS can be used as a problem-solving technique when conventional ultrasound modes are not diagnostic for retinal/choroidal detachment and when intraocular lumps cannot be characterized as tumor or non-tumor masses on conventional modes.

Key words: Contrast-enhanced ultrasound, Retinal detachment, Choroidal detachment, Intraocular lumps

中图分类号:

R770.4

乔岗,代艳,郭海科,郭道林,卫云峰,李娟. 超声造影在诊断困难的视网膜脱离、脉络膜脱离及眼内肿块中的应用[J]. 山东大学耳鼻喉眼学报, 2016, 30(2): 91-93.

QIAO Gang, DAI Yan, GUO Haike, GUO Daolin, WEI Yunfeng, LI Juan. The use of CEUS in the diagnosis of retinal/choroidal detachment and associated intraocular masses in patients with equivocal findings at conventional ultrasound.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 91-93.

参考文献

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超声造影在诊断困难的视网膜脱离、脉络膜脱离及眼内肿块中的应用

The use of CEUS in the diagnosis of retinal/choroidal detachment and associated intraocular masses in patients with equivocal findings at conventional ultrasound.

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