超声生物显微镜检查在选取青光眼治疗方案中的作用分析
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摘要
目的:探析在青光眼治疗方案选择中超声生物显微镜检查的应用价值。方法:本次研究对象为笔者所在医院2018年1-12月接收的100例青光眼患者,均接受超声生物显微镜检查。依据检查结果,给予不同的治疗方案。结果:100例患者(198只眼)中25例(50只眼)为开角型青光眼;40只眼检查提示为虹膜根部膨隆,巩膜突部分被遮挡;81只眼检查提示为虹膜根部膨隆,前房浅,巩膜突全部被遮挡;27只眼检查提示为虹膜根部膨隆,前房极浅,巩膜突全部被遮挡,为睫状体浅脱离。采取不同治疗方案后随访,眼压控制理想。结论:根据超声生物显微镜检查结果对青光眼治疗方法进行选择,有助于治疗效果的提高,值得采纳并推广。
Objective:To explore the value of ultrasound biological microscope in the treatment of glaucoma.Method:100 cases of glaucoma in this study were received in our hospital from January to December 2018.All patients were examined by ultrasound biological microscope.According to the examination results,different therapeutic methods were given.Result:Of 100 cases(198 eyes),25 cases(50 eyes) were open angle glaucoma.40 eyes showed iris root swelling,and the scleral process were partially occluded.81 eyes showed iris root swelling,shallow anterior chamber,scleral process were completely occluded.27 eyes showed iris root swelling,very shallow anterior chamber,scleral process were completely occluded,which is shallow detachment of ciliary body.Followed-up after different therapeutic method showed that intraocular pressure control was ideal.Conclusion:According to the results of ultrasound biological microscope,the selection of therapeutic methods for glaucoma is helpful to improve the therapeutic effect.It is worthy of adoption and promotion.
Objective:To explore the value of ultrasound biological microscope in the treatment of glaucoma.Method:100 cases of glaucoma in this study were received in our hospital from January to December 2018.All patients were examined by ultrasound biological microscope.According to the examination results,different therapeutic methods were given.Result:Of 100 cases(198 eyes),25 cases(50 eyes) were open angle glaucoma.40 eyes showed iris root swelling,and the scleral process were partially occluded.81 eyes showed iris root swelling,shallow anterior chamber,scleral process were completely occluded.27 eyes showed iris root swelling,very shallow anterior chamber,scleral process were completely occluded,which is shallow detachment of ciliary body.Followed-up after different therapeutic method showed that intraocular pressure control was ideal.Conclusion:According to the results of ultrasound biological microscope,the selection of therapeutic methods for glaucoma is helpful to improve the therapeutic effect.It is worthy of adoption and promotion.
引文
[1]陈发棋.超声生物显微镜在青光眼诊断分型中的应用探讨[J].基层医学论坛,2017,21(14):1822-1823.
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[3]张宁,张文强,叶倩,等.超声生物显微镜指导下的原位微创复通术治疗滤过泡纤维化的临床观察[J].眼科新进展,2018,38(3):269-272.
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[10]陈良波,何芳邻,严晨曦,等.改良超声生物显微镜检查法在眼表热化学烧伤后中度及重度睑球粘连诊疗中的应用[J].上海交通大学学报:医学版,2017,37(11):1495-1499.
[11]张蓓蓓,周玉杰.超声生物显微镜观察经桡动脉冠状动脉介入术对桡动脉管壁的影响[J].心肺血管病杂志,2017,36(7):569-572.
[12]许建锋,国媛媛,张晓娜,等.UBM和前节OCT在外伤性睫状体脱离诊断中的对比研究[J].临床眼科杂志,2018,26(3):227-229.
[13]罗艳,程旭康,杨慧,等.超声生物显微镜(UBM)辅助下的改良睫状沟缝线固定人工晶状体植入术[J].眼科新进展,2018,38(11):82-85.
[2]肖萍.原发性闭角型青光眼应用UBM诊断的有效性[J].中外医学研究,2017,15(2):101-103.
[3]张宁,张文强,叶倩,等.超声生物显微镜指导下的原位微创复通术治疗滤过泡纤维化的临床观察[J].眼科新进展,2018,38(3):269-272.
[4]李爱林,吕爱国,郭黎霞,等.原发性急性闭角型青光眼解剖结构特点的研究进展[J].临床眼科杂志,2018,26(5):95-99.
[5]李爽,刘力苇,王薇,等.超声生物显微镜在老年性上睑下垂术前评估中的应用[J].临床和试验医学杂志,2017,16(8):806-810.
[6]宿心洁,戴惟葭.原发性闭角型青光眼眼前节参数的研究进展[J].国际眼科杂志,2018,18(11):58-62.
[7]沈凌飞,林志博.白内障超声乳化联合人工晶体植入术对急性闭角型青光眼合并白内障患者临床疗效[J].浙江创伤外科,2017,22(3):478-480.
[8]张曦,郎雄丽.超声联合UBM在脉络膜脱离型视网膜脱离诊断中的应用[J].医学影像学杂志,2017,27(8):1440-1442.
[9]石红霞.闭角型青光眼手术前后前房角超声生物显微镜下的变化分析[J].河南医学研究,2017,26(6):1097-1098.
[10]陈良波,何芳邻,严晨曦,等.改良超声生物显微镜检查法在眼表热化学烧伤后中度及重度睑球粘连诊疗中的应用[J].上海交通大学学报:医学版,2017,37(11):1495-1499.
[11]张蓓蓓,周玉杰.超声生物显微镜观察经桡动脉冠状动脉介入术对桡动脉管壁的影响[J].心肺血管病杂志,2017,36(7):569-572.
[12]许建锋,国媛媛,张晓娜,等.UBM和前节OCT在外伤性睫状体脱离诊断中的对比研究[J].临床眼科杂志,2018,26(3):227-229.
[13]罗艳,程旭康,杨慧,等.超声生物显微镜(UBM)辅助下的改良睫状沟缝线固定人工晶状体植入术[J].眼科新进展,2018,38(11):82-85.