本文選題：青光眼 + 前部鞏膜厚度�。� 參考：《眼科新進展》2015年02期

【摘要】：目的探討不同類型青光眼患者前部鞏膜厚度(anterior sclera thickness,AST)與眼部生物學參數(shù)的相關(guān)性。方法選取2012年1月至2013年6月我院收治的青光眼患者80例(80眼),其中原發(fā)性閉角型青光眼(primary angle-closure glaucoma,PACG)38例,原發(fā)性開角型青光眼(primary open angle glaucoma,POAG)42例,另選取于我院同期健康體檢的健康無眼疾者40例(40眼)作為對照,采用超聲生物顯微鏡(ultrasound biomicroscopy,UBM)對AST進行檢測,DGH-1000型超聲角膜測厚儀測量中央角膜厚度(central corneal thickness,CCT),同時采用眼科A/B超對眼軸長度(axial length,AL)進行測量,對測量結(jié)果進行比較分析。結(jié)果 POAG組、PACG組AST與對照組相比,差異均無統(tǒng)計學意義(均為P0.05);POAG組AST與PACG組相比,差異無統(tǒng)計學意義(P0.05)。POAG組、PACG組CCT與對照組相比,差異均有統(tǒng)計學意義(均為P0.05),POAG組、PACG組CCT均大于對照組;POAG組CCT與PACG組相比,差異有統(tǒng)計學意義(P0.05),POAG組CCT大于PACG組。POAG組、PACG組AL與對照組相比,差異均有統(tǒng)計學意義(均為P0.05),POAG組、PACG組AL均小于對照組;POAG組AL與PACG組相比,差異有統(tǒng)計學意義(P0.05),POAG組AL小于PACG組。POAG組CCT值與AST值間呈線性正相關(guān)(r=0.544,P=0.018),但PACG組CCT值與AST值間均未發(fā)現(xiàn)線性相關(guān)(r=-12.345,P=0.058);兩組AL與AST均無相關(guān)性。結(jié)論不同類型青光眼患者的CCT有一定的差異,但各型青光眼患者AST無明顯差異,POAG患者的CCT與AST可能存在一定的正相關(guān)。
[Abstract]:Objective to investigate the correlation between (anterior sclera thicknessAST and ocular biological parameters in patients with different types of glaucoma. Methods from January 2012 to June 2013, 80 patients (80 eyes) with primary angle-closure glaucoma (primary angle-closure glaucoma) and 42 patients with primary open-angle glaucoma (primary open angle glaucoma Poag) were selected. In addition, 40 patients (40 eyes) without eye disease who were examined in our hospital during the same period were selected as control. Ultrasound biomicroscopy (UBM) was used to measure the central corneal thickness (central corneal thicknessCCT) with DGH-1000 ultrasonic keratometer, and axial length was measured by AUS. The results were compared and analyzed. Results there was no significant difference in AST between Poag group and control group (P0.05). There was no significant difference in AST between Poag group and PACG group (P0.05). The difference was statistically significant (P0.05). The CCT of PACG group in Poag group was higher than that of control group and PACG group. (P0.05) the CCT of Poag group was higher than that of PACG group, and that of PACG group was higher than that of PACG group, and that of PACG group was higher than that of PACG group, and that of PACG group was higher than that of PACG group. All the differences were statistically significant (P0.05). The AL of the Poag group was lower than that of the control group (P < 0.05), and that of the Poag group was lower than that of the control group (P < 0.05). The difference was statistically significant (P0.05). The correlation between CCT and AST in Poag group was significantly lower than that in PACG group (P 0.05), but there was no linear correlation between CCT value and AST value in PACG group (r-12.345 P0.058), but there was no correlation between AL and AST in both groups. Conclusion there are some differences in CCT between different types of glaucoma patients, but there is no significant difference in AST between different types of glaucoma patients. There may be a positive correlation between CCT and AST in Poag patients.
【作者單位】： 廣東醫(yī)學院附屬醫(yī)院眼科;
【分類號】：R775

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