彩色多普勒超声与二维超声诊断外伤性视网膜脱离50例分析

Analysis of 50 cases of traumatic retinal detachment diagnosed by color Doppler ultrasound and two-dimensional ultrasound

目的:评价彩色多普勒超声在诊断外伤性视网膜脱离中的应用价值。方法:对2013-01/06于我院就诊的眼外伤可疑视网膜脱离的患者50例56眼先行二维超声检查,再行彩色多普勒超声检查,并与手术结果对照。结果:二维超声检查56眼均提示玻璃体腔内均可见异常光带,彩色多普勒超声检查提示39眼此回声带内见彩色血流。手术结果证实56眼中视网膜脱离40眼。结论:相对于二维超声检查,彩色多普勒超声检查可以更好地显示玻璃体腔内异常光带及彩色血流,对于诊断外伤性视网膜脱离具有重要的临床意义。

AIM ： To evaluate the value of color Doppler ultrasound in the diagnosis of traumatic retinal detachment. METHODS： All 50 cases （56 eyes） of suspicious traumatic retinal detachment from January to June in 2013 were enrolled in this study. All first received the two- dimensional ultrasound, then the color Doppler ultrasound, finally, these results were compared with the results of surgery. RESULTS： All 56 eyes were observed intravitreal abnormal spots by the two-dimensional ultrasound, and 39 eyes were observed color blood signal by the color Doppler ultrasound. Forty eyes were approved retinal detachment by surgery. CONCLUSION： It is better to display the intravitreal abnormal spots and color blood signal by the color Doppler ultrasound than by the two- dimensional ultrasound, so there is important clinical significance of the color Doppler ultrasound in the diagnosis of traumatic retinal detachment.