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目的总结脉络膜上腔出血的超声波和彩色多普勒显像特点及其临床价值。方法使用美国SonomedA/B2500眼科专用超声诊断仪和德国SIEMENSsonlneversa多功能彩色多普勒超声诊断仪检查14例内眼手术后发生的驱逐性脉络膜上腔出血患者,对其显像特点及血流信号进行分析。结果14例患者均经超声波检查(其中5例行彩色多普勒检查)明确了脉络膜上腔出血的诊断,其中完全性出血10例,部分性出血4例,经1~3次超声波检查,出血1周后血凝块开始液化,其中13例于出血后平均15.4天再次手术证实血凝块液化。结论超声波和彩色多普勒检查对脉络膜上腔出血的诊断有较大的价值,在了解血凝块是否液化、出血范围及玻璃体视网膜状态等方面为治疗提供重要依据;讨论了在鉴别诊断上的意义
Objective To summarize the characteristics and clinical value of suprachoroidal hemorrhage by ultrasound and color Doppler imaging. Methods 14 cases of expelled choroidal hemorrhage occurred after intraocular surgery were examined by Sonomed A / B2500 ophthalmology ultrasonic scanner and SIEMENSsonlneversa multifunctional color Doppler ultrasonic diagnostic apparatus in Germany. Their imaging features and blood flow signals were evaluated analysis. Results All 14 patients underwent ultrasonography (color Doppler echocardiography was performed in 5 cases) to confirm the diagnosis of suprachoroidal hemorrhage. Among them, 10 cases were complete hemorrhage and 4 cases were partial hemorrhage. After 1 ~ 3 ultrasound examinations, hemorrhage One week later, the clot began to liquefy, and 13 of the 13 cases were re-operated after an average of 15.4 days after the bleeding, confirming the liquefaction of the clot. Conclusion Ultrasound and color Doppler examination of the diagnosis of suprachoroidal hemorrhage have great value in understanding whether the clot is liquefied, the scope of bleeding and vitreoretinal status and so provide an important basis for treatment; discussed in the differential diagnosis significance