本文選題：牽�；ňC合征 + 小兒　； 參考：《四川大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2017年04期

【摘要】：目的探討小兒牽�；ňC合征(morning glory syndrome,MGS)患眼超聲表現(xiàn)及特點(diǎn)。方法將2005~2016年確診為MGS并有完整高頻超聲眼部檢查資料的6例患兒(7只患眼)納入研究,回顧性分析其超聲及臨床表現(xiàn)。結(jié)果 6例患兒(男4例,女2例)診斷時(shí)年齡5~60月,中位年齡8.5月。12只眼中7只MGS,伴視網(wǎng)膜脫離2例;伴永存原始玻璃體增生癥(PHPV)及眼小1例,對(duì)側(cè)眼白內(nèi)障;僅伴PHPV 1例;雙眼MGS 1例;無(wú)合并眼病MGS 1例。二維超聲表現(xiàn):7只MGS患眼視盤(pán)區(qū)呈局限性凹陷狀,邊界清楚,形態(tài)規(guī)則,與玻璃體相通,深面突向眼球后極視神經(jīng)走行方向,病灶最大深度為4~15mm,平均(8.29±4.42)mm,最大寬度為4~11mm,平均(6.86±2.67)mm;凹陷內(nèi)未見(jiàn)正常視神經(jīng)回聲;局部放大觀察5個(gè)凹陷病灶底部顯示有弱回聲充填;7只患眼視神經(jīng)軸末端與凹陷底部相距距離不一,最近者呈緊貼狀態(tài),最遠(yuǎn)者相距約4.5mm。彩色血流顯像:7例凹陷區(qū)周邊血流信號(hào)(Adler,2~3級(jí))明顯較凹陷內(nèi)部血流(Adler,0~1級(jí))豐富。結(jié)論 MGS眼常伴其他眼部病變。視盤(pán)區(qū)局限性凹陷區(qū)為該病典型超聲表現(xiàn)特征。超聲有助診斷MGS,且還能進(jìn)一步發(fā)現(xiàn)其他伴發(fā)眼病。
[Abstract]:Objective to investigate the ultrasonographic features of morning glory syndrome in children with morning glory syndrome. Methods from 2005 to 2016, 7 eyes of 6 children with MGS diagnosed as MGS were included in the study, and their ultrasound and clinical manifestations were analyzed retrospectively. Results 6 cases (male 4 cases, female 2 cases) were diagnosed at the age of 5 ~ 60 months, median age was 8.5 months, 7 MGSs with retinal detachment (2 cases), 1 case with persistent primary vitreous hyperplasia (PHPVV), 1 case with small eye, 1 case with cataract of contralateral eye, 1 case with PHPV. One case had bilateral MGS and 1 case had no MGS complicated with ophthalmopathy. Two-dimensional ultrasound showed that the optic disc area of 7 MGS eyes was concave, with clear boundary, regular shape, communicating with the vitreous body, and the deep face protruding to the posterior pole of the eyeball optic nerve. The maximum depth of the lesion was 4 ~ 15mm, the mean depth was 8.29 鹵4.42mm, the maximum width was 411mm, and the average width was 6.86 鹵2.67mm. there was no normal optic nerve echo in the sag, and the local magnification observation showed that there was weak echo filling at the bottom of the lesion, and the distance between the axial end of the optic nerve and the bottom of the concave was different. The closest was in a close position, and the farthest was about 4.5 mm. Color blood flow imaging showed that the peripheral blood flow signals of 7 cases were significantly more abundant than that of adlerian grade 1). Conclusion MGS eyes are often accompanied with other ocular lesions. The localized concave area of the optic disc is the typical ultrasonographic feature of the disease. Ultrasound is helpful in the diagnosis of MGSand can further detect other ocular diseases.
【作者單位】： 四川大學(xué)華西醫(yī)院超聲科;
【分類(lèi)號(hào)】：R445.1;R774.6

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張進(jìn)軍,同西龍,趙秋,田瑾;牽�；ňC合征1例[J];中國(guó)實(shí)用眼科雜志;2000年06期

2 韋裕才,張莉;牽�；ňC合征一例[J];中國(guó)斜視與小兒眼科雜志;2001年01期

3 程玉霞,茶雪平,蔡斌,張慧;牽�；ňC合征一例[J];眼科研究;2003年02期

4 董映,徐永寧,鐘建光;牽牛花綜合征2例[J];眼科;2003年05期

5 徐升英,王桂芳,常艷春;牽�；ňC合征一例[J];中國(guó)斜視與小兒眼科雜志;2003年04期

6 黃永志;孟丹;鄧杰;;牽�；ňC合征5例的超聲特征[J];中國(guó)現(xiàn)代醫(yī)生;2008年32期

7 康潤(rùn)梅;王占平;康v，

本文編號(hào)：2045400