眼科B超诊断黄斑病变的临床价值

Clinical Value of B-Scan Ultrasound in Diagnosis of Maculopathy

目的探讨眼科B超诊断黄斑病变(AMD)的临床价值。方法选取南阳市眼科医院2018年7月至2019年7月收治的AMD患者70例,对140只眼分别应用光学相干断层扫描(OCT)检查与眼科B超检查,比较2种方法的阳性检出率。结果对AMD,眼科B超的阳性检出率为87.86%,OCT的阳性检出率为78.57%。与OCT诊断相比,眼科B超的AMD检出阳性率显著升高,差异有统计学意义(P<0.05)。结论眼科B超检查在AMD患者诊治中具有较高的临床价值,尤其是当患者眼底出血以及屈光间质混浊时其他检查方法结果受影响较大,而眼科B超检查不受影响,其检测效果显著。

Objective To analyze the clinical value of B-scan ultrasound in the diagnosis of macular degeneration(AMD).Methods Seventy AMD patients(140 eyes)admitted to our hospital from July 2018 to July 2019 underwent optical coherence tomography(OCT)and B-scan ultrasound.The rates of diagnostic positive detection of the two methods were compared.Results The positive detection rate of B-scan ultrasound(87.86%)was significantly higher than that of OCT(78.57%)in AMD(P<0.05).Conclusion B-scan ultrasound has a high clinical value in the diagnosis and treatment of AMD,especially in patients with fundus hemorrhage and refractive interstitial turbidity.