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目的比较超声生物显微镜(UBM)和房角镜在判断睫状体脱离的断离口范围上的临床诊断价值。方法对329例(329只眼)睫状体脱离接受手术治疗者,术前行详细的UBM检查,其中192只眼同时接受房角镜检查,术中将两种不同方法检查的结果与术中探查到的实际情况作详细对比,并回顾性总结分析对比结果。结果一次性手术成功311只眼,成功率94.5%;二次手术18只眼再次进行UBM检查,手术成功率100%,房角镜检查结果与UBM检查结果对比吻合119例,占61.9%。结论准确判定睫状体脱离的断离口范围是睫状体复位手术成功的关键,而UBM检查是目前准确判定断离口范围的唯一准确的检查手段,与房角镜检查比较方便、准确,患者更易接受。
Objective To compare the clinical diagnostic value of ultrasound biomicroscopy (UBM) and gonioscopy in the diagnosis of ciliary body detachment. Methods A total of 329 patients (329 eyes) with ciliary body detached from surgery were examined with detailed UBM before operation. 192 eyes were examined with gonioscopy at the same time. The results of two different methods were compared with the intraoperative Explore the actual situation for a detailed comparison, and retrospective analysis and comparison results. Results The success rate of one-time operation was 311 eyes, the success rate was 94.5%. UBM was performed again in 18 eyes of secondary surgery, the success rate was 100%. The results of gonioscopy and UBM were consistent with 119 cases (61.9%). Conclusion Accurately determine the scope of the ciliary body detachment is the key to the success of ciliary body reduction surgery, and UBM examination is the only accurate means to determine the correct range of off-line examination means, and gonocular examination more convenient and accurate, Patients are more receptive.