高频超声诊断外伤性前房出血后并发症

Application of high-frequency ultrasound in diagnosis of traumatic hyphema

目的:探讨高频超声诊断在外伤性前房出血后的应用价值。方法:对2001/2003年收治的98例外伤性前房出血的积血程度、高频声像图及疗效进行回顾性分析。结果:高频声像图提示在18例外伤性前房出血患者中,出现玻璃体出血,视网膜脱离,晶状体脱位,脉络膜炎,眶内血肿等合并症;I级(42例)、II级(36例)及III级(20例)前房积血患者中并发症率分别为2.4%(1例),27.8%(10例)和35.0%(7例)。无并发症患者(80例)治愈时间3～11d,疗效好,仅2例视功能有轻度影响;有并发症患者(18例)前房出血量在II级以上,治疗时间在20～35d,疗效不佳,12例对视功能产生了中重度影响。结论:高频超声显像对外伤性前房出血后具有独特的诊断应用价值,尤其是在II级以上的患者中应用,可为临床诊断提供可靠依据,促使治疗方案更完善。

AIM: To probe the value of high-frequency ultrasound in diagnosis of traumati c hyphema. · METHODS: Hyphema degree, high-frequency ultrasonogram and curative effect wer e reviewed in 98 patients with traumatic hyphema who were admitted to hospital f rom 2001 to 2003. · RESULTS: In high-frequency ultrasonograms complications were found in 18 case s including vitreous hemorrhage, retinal detachment, lens dislocation, choroids inflammation and hematoma in orbit. The complication rate was 2.4%,27.8% and 35. 0% in traumatic hyphema patients at I, II, III and degree respectively. The trea ting period was 3-11d in non-complication patients (70 cases) with good curative effect, and only 2 cases had mild influence on optic function, but the treating time was 20-35d in 18 cases with complications. Their curative effects were bad and hyphema was above II degree. Moreover, moderate or severe influence on opti c function occurred in 12 cases. · CONCLUSION: High-frequency ultrasound has unique value in diagnosis of trauma tic hyphema. ·