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目的探讨超声造影在眼科常规检查诊断困难的视网膜脱离、脉络膜脱离及眼内肿块病例中鉴别诊断的应用。方法收集绵阳市中心医院眼科2012年1月至2014年12月因屈光介质不清、瞳孔膜闭等因素导致眼科常规眼底检查及眼部B超诊断困难并采用超声造影检查的21例的临床资料,分析超声造影检查的影像学特征,并与最终手术中诊断结果及病理结果比较。结果 21例诊断困难的病例经超声造影诊断为视网膜脱离8例,脉络膜脱离6例,玻璃体混浊4例,脉络膜肿瘤3例;与最终手术中或病理检查结果相符合。常规检查漏诊及误诊6例。结论超声造影能成功的检查出视网膜脱离、脉络膜脱离及眼内肿块的临床特征,用于眼部检查安全有效,对于常规检查存在困难的病例有一定帮助。
Objective To investigate the application of contrast-enhanced ultrasound in the diagnosis of retinal detachment, choroidal detachment and intraocular mass in routine ophthalmologic examination. Methods From January 2012 to December 2014, 21 cases of clinical ophthalmologic examination with ophthalmologic examination and ophthalmic B-ultrasound diagnosis due to unclear refractive media and pupillary membrane closure were collected in Department of Ophthalmology, Mianyang Central Hospital. Data, analysis of imaging features of contrast-enhanced ultrasound, and with the final diagnosis of surgery and pathological results were compared. Results Twenty-one cases with difficult diagnosis were diagnosed as retinal detachment by ultrasound contrast in 8 cases, choroidal detachment in 6 cases, vitreous opacity in 4 cases and choroidal neoplasm in 3 cases. The results were consistent with the final operation or pathological examination. Routine examination missed diagnosis and misdiagnosis in 6 cases. Conclusions Ultrasonography can successfully detect the clinical features of retinal detachment, choroidal detachment and intraocular mass. It is safe and effective for ocular examination and may be helpful to the routine examination of difficult cases.