超声在诊断2型糖尿病眼病中应用研究.docVIP

超声在诊断2型糖尿病眼病中应用研究 　　【摘要】 目的：探讨超声在诊断2型糖尿病常见眼部疾病的应用价值。方法：对2011年4月-2013年4月80例糖尿病合并眼病的患者资料进行分析，并与对照组进行比较，总结糖尿病眼部常见疾病的二维超声、彩色和频谱多普勒及超声造影（CEUS）的表现。结果：糖尿病眼部疾病中的玻璃体混浊、玻璃体积血、玻璃体机化、玻璃体后脱离及视网膜脱离的在二维声像图有特征性表现；糖尿病组CRA及OA流速均显著低于对照组，而RI、PI则显著增高，差异均有统计学意义（P0.05）。CEUS可以提高眼部或病灶内血管的显示，鉴别诊断视网膜脱离及玻璃体积血等疾病。结论：超声在糖尿病眼部疾病的诊断和鉴别诊断及判断视网膜血流灌注等情况中有重要的应用价值。 　　【关键词】 2型糖尿病眼病； 二维超声； 频谱多普勒； 超声造影 　　Application Research of Ultrasound in Type 2 Diabetic Eye Disease/CUI Yu-yan，MA Tian-chi，WANG Yan-xia，et al.//Medical Innovation of China，2014，11（16）：019-021 　　【Abstract】 Objective：To investigate the value of ultrasonography in type 2 diabetic eye disease.Method：The ultrasound data of 80 diabetic patients with eye disease from April 2011 to April 2013 were analyzed .The two-dimensional ultrasound，colour dopple flow imageing， spectral doppler and contrast enhanced utlrasound （CEUS） performance were summarized. Result：The two-dimensional ultrasound images of the eye diseases in type 2 diabetic，such as vitreous opacities， vitreous hemorrhage， vitreous organization， vitreous detachment and retina detachment， had some specified traits. CRA and OA flow rate of the diabetic group were significantly lower than the control group， while the RI， PI was significantly increased（P0.05）. CEUS can improve ocular or vascular lesions showed ，beneficial differential diagnosis of retinal detachment and vitreous hemorrhage and other diseases.Conclusion：Ultrasound has important applications in the diagnosis and differential diagnosis of retinal perfusion and judgments， etc.in type 2 diabetic eye disease. 　　【Key words】 Type 2 diabetic eye disease； Two-dimensional ultrasound； Doppler spectrum； Ultrasonic imaging 　　First-author’s address：The Fourth Peoples Hospital of Shenyang City，Shenyang 110031，China 　　doi：10.3969/j.issn.1674-4985.2014.16.006 　　眼部病变是糖尿病常见的并发症，糖尿病患者几乎可以并发所有的眼病，如眼底出血、视神经萎缩、视网膜脱落等[1]。随着生活水平的提高，我国糖尿病患者日益增多，并发症导致视力损伤的患者也越来越多。因此，早期发现及明确诊断对眼病病情的控制和减少视力损伤的发生是必要的。本文通过回顾性分析病例的方式探讨超声对糖尿病眼病诊断的价值。 　　1 资料与方法 　　1.