中国健康成人球后视神经鞘直径的超声测量.pdfVIP

·160 · 临床超声医学杂志2012年3月第14卷第3期摇 J Clin Ultrasound in Med,March2012,Vol.14,No.3 ·临床研究 · 中国健康成人球后视神经鞘直径的超声测量 李摇 臻摇 刘大川摇 杨惠青摇 赵丽苹摇 赵丽燕 摇 摇 摘摇 要摇 目的摇 应用B型超声测量中国健康成人球后视神经鞘直径的正常值范围,探讨B型超声测量球后视神 经鞘直径(ONSD )的方法及其可靠性。 方法摇 选取82例无眼部疾病的中国健康成人,共82 只眼。 由两名检查者(检查 者A和检查者B)分别应用B型超声对同一受检眼采用横向扫描和纵向扫描的方法,测量球后3 mm处视神经鞘直径, 比较不同检查者间的一致性。 结果摇 B型超声横向扫描测量中国健康成人球后3 mm处ONSD范围为2.7~5.6 mm,平 均(4.06依0.58) mm;纵向扫描测量的ONSD测量值范围为3.6~6.6 mm,平均(4.74依0.62)mm。 两检查者间横向扫描 测量的相关系数为0.596,纵向扫描测量的相关系数为0.618,均具有良好的相关性。 结论摇 B 型超声是一种简便、快 速、安全、可靠的检测球后视神经鞘直径的方法。 摇 摇 关键词摇 超声检查;视神经鞘,直径;正常值 [中图法分类号]R774郾6;R445郾1摇 摇 摇 摇 摇 摇 [文献标识码]A Ultrasonic measurement on retrobulbar optic nerve sheath diameter in healthy Chinese adults LI Zhen,LIU Dachuan,YANG Huiqing,ZHAO Liping,ZHAO Liyan Department of Ophthalmology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China ABSTRACT摇 Objective摇 To determine the normal range of retrobulbar optic nerve sheath diameters(ONSD) in healthy Chinese adults by B mode ultrasonography,and to investigate its reliability. Methods摇 Eighty-two healthy Chinese adults with 82 eyeswere enrolled in this study. Each eyewas measured by two examiners with B mode ultrasonography respectively. Each examiner measured the ONSD 3 mm behind the eyeball with both transverse scan and axial scan technique,the consistency between differentexaminerswerecompared. Results摇 Therangeof ONSD3mmbehindeyeballsmeasuredby Bmodetransverse scan ultrasonography in healthy Chinese adults were 2.7 ~5.6 mm,the means were (4.06 依 0.58)mm;the range of ONSD measured by axial scan techniquewere3.6~6.6 mm,the means were (4.74依0.62)mm. The correlation coefficient between the two examiners was 0.596 with transverse scan,and 0.618 wi