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眼眶-眼部B超在一个非洲发展中国家的实用性和有效性

Utility and effectiveness of orbito-ocular B-scan ultrasonography in an African developing country.

作者信息

Eze Boniface I, Onu Augustine C, Imo Augustine O, Mgbor Samuel O

出版信息

J Health Care Poor Underserved. 2013 Nov;24(4):1440-7. doi: 10.1353/hpu.2013.0174.

DOI:10.1353/hpu.2013.0174
PMID:24185142
Abstract

BACKGROUND

Diagnostic orbito-ocular ultrasonography is a safe, affordable, and cost-effective procedure that is especially suited for resource-poor developing countries. Periodic evaluation of its utility and effectiveness is important in the light of phenomenal advances in medical imaging.

OBJECTIVES

To assess the utility and effectiveness of B-scan orbito-ocular ultrasonography in a Nigerian ophthalmic patient population.

METHODS

The Hansa Clinic's database was retrospectively reviewed, between January 2006 and December 2010, to obtain patients' relevant demographic and clinical data. Results . The subjects comprised 119 males and 81 females. The leading sonographic diagnoses were ocular (90.4%): retinal detachment-23.3%, cataract-14.0%, and vitreous haemorrhage-10.5%; orbital (8.3%): 'mass lesion'-4.8% and myopathies-0.8%. The agreement between clinical and sonographic diagnoses was complete in 35.5% eyes.

CONCLUSION

At Hansa Clinics, intraocular lesions are the main findings of diagnostic orbito-ocular sonography. There is poor agreement between clinical and sonographic diagnoses. Improved correlation of patients' clinic-pathologic data is suggested.

摘要

背景

诊断性眼眶眼部超声检查是一种安全、经济且性价比高的检查方法,特别适用于资源匮乏的发展中国家。鉴于医学成像技术的显著进步,定期评估其效用和有效性很重要。

目的

评估B超眼眶眼部超声检查在尼日利亚眼科患者群体中的效用和有效性。

方法

回顾性分析2006年1月至2010年12月汉萨诊所的数据库,以获取患者的相关人口统计学和临床数据。结果。研究对象包括119名男性和81名女性。超声检查的主要诊断结果为眼部疾病(90.4%):视网膜脱离-23.3%、白内障-14.0%、玻璃体出血-10.5%;眼眶疾病(8.3%):“占位性病变”-4.8%、肌病-0.8%。35.5%的眼睛临床诊断和超声诊断完全一致。

结论

在汉萨诊所,眼内病变是诊断性眼眶眼部超声检查的主要发现。临床诊断和超声诊断之间的一致性较差。建议改善患者临床病理数据的相关性。

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引用本文的文献

1
A 5-YEAR REVIEW OF ULTRASONOGRAPHIC EVALUATION OF OCULAR DISEASES AT THE UNIVERSITY COLLEGE HOSPITAL IBADAN, SOUTH-WEST, NIGERIA.尼日利亚西南部伊巴丹大学学院医院眼部疾病超声评估的5年回顾
Ann Ib Postgrad Med. 2020 Dec;18(2):152-159.