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本文报告近十年来经临床和病理确珍为视网膜母细胞瘤共113例120只眼的超声检查结果并作分析。本文介绍和讨论了视网膜母细胞瘤在超声图上显示的典型特征:大多数患眼肿瘤具有高反射性(79.64%,多为束状高液反射);不同程度的声学衰减;随访观察异常反射增加和范围扩大;眼轴长度除少数例外大多数正常。本组病例 B-扫描声象显示五种图形:肿瘤形状规则或不规则,肿瘤边界清楚或不清楚,可有强光斑和其他异常反射(例如暗区及球后异常光团)。超声图与眼球病理密切相关,在不典型病例,超声波形和图象不典型。文中介绍了误诊病例,提出了检查诊断中的经验和体会;强调在屈光媒质混浊及视网膜脱离妨碍观察肿瘤时,超声波检查是较方便、可靠和有价值的辅助诊断方法。
This article reports the past 10 years, clinically and pathologically confirmed retinoblastoma 113 cases of 120 eyes of the ultrasound examination results and analysis. This article describes and discusses the typical features of retinoblastoma on ultrasonography: the majority of ocular tumors with high reflectivity (79.64%, mostly bundles of high liquid reflex); varying degrees of acoustic attenuation; follow-up observation of abnormal reflex Increase and extent of expansion; axial length except for a few exceptions most of the normal. In this group of patients, B-scan sonography revealed five patterns: regular or irregular tumor shape, clear or unclear tumor boundaries, strong light spots and other abnormal reflexes (such as dark and posterior bulb anomalies). Ultrasound and eye pathology are closely related, in atypical cases, ultrasound and image atypical. The paper introduces the cases of misdiagnosis and puts forward the experience and experience in the diagnosis of the diagnosis. It is emphasized that the ultrasound examination is a convenient, reliable and valuable auxiliary diagnosis method when the opacity of media and retinal detachment obstruct the observation of the tumor.