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| UBM、SL-OCT及房角镜检查前房角结构的比较 | |
| 引用本文： | 刘瑞珏,王萌,夏文涛,俞晓英,陈捷敏,周姝,彭书雅,刘冬梅.UBM、SL-OCT及房角镜检查前房角结构的比较[J].法医学杂志,2014,30(4):261-263. |
| 作者姓名： | 刘瑞珏 王萌 夏文涛 俞晓英 陈捷敏 周姝 彭书雅 刘冬梅 |
| 作者单位： | 1. 司法部司法鉴定科学技术研究所上海市法医学重点实验室,上海,200063 2. 司法部司法鉴定科学技术研究所上海市法医学重点实验室,上海200063;复旦大学上海医学院法医学系,上海200032 3. 司法部司法鉴定科学技术研究所上海市法医学重点实验室,上海200063;苏州大学医学部法医学系,江苏苏州215123 |
| 基金项目： | “十二五”国家科技支撑计划项目 |
| 摘 要： | 目的 探讨超声生物显微镜（ultrasound biomicroscope,UBM）、裂隙灯前节光学相干断层成像（slit lamp optical coherence tomography,SL-OCT）与房角镜检查房角后退和房角关闭的一致性. 方法 在同一暗室中对被检查眼上方、下方、颞侧、鼻侧4个方位进行UBM、SL-OCT及房角镜检查,记录前房角情况,应用x2检验和Kappa检验对3种检查方法就房角关闭、房角后退的检查结果一致性进行比较. 结果 应用UBM、SL-OCT及房角镜检查判断房角关闭和房角后退,3种检查方法差异无统计学意义（P＞0.05）,UBM与房角镜检查房角后退结果一致性更好（Kappa值0.882）,而SL-OCT与房角镜检查房角后退结果一致性一般（Kappa值0.624）. 结论 以房角镜检查作为标准,对房角后退的判断UBM优于SL-OCT;对房角关闭的判断,UBM、SL-OCT及房角镜检查一致性均良好. |
| 关 键 词： | 法医学 显微镜检查 声学 体层摄影术 光学相干 房角镜 房角后退 房角关闭 |
Comparison of Anterior Chamber Angle Examination by UBM,SL-OCT and Gonioscopy |
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| Institution: | LIU Rui-jue, WANG Men, XIA Wen-tao, YU Xiao-ying, CHEN Jie-min, ZHOU Shu PENG Shu- ya, LIU Dong-mei (1. Shanghai Key Laboratory of Forensic Medicine, Institude of Forensic Science, Ministry of Justice, P.R.Chi- ha, Shanghai 200063, China; 2. Department of Forensic Medicine, Shanghai Medical College, Fudan Uni- versity, Shanghai 200032, China; 3. Department of Forensic Medicine, Medical College of Soochow Univer- sity, Suzhou 215123, China) |
| Abstract: | Objective To compare the agreement of anterior chamber angle examination by ultrasoundbiomicroscope （UBM）, slit lamp optical coherence tomography （SL-OCT）, and gonioscopy in angle re-cession and angle closure. Methods The anterior chamber angle was measured with UBM, SL-OCT andgonioscopy in turns for temporal, nasal, superior and inferior quadrant in the same dark room. The re-sults were compared with the agreement of the three methods in angle recession and angle closure byX2 test and Kappa test. Results There were no statistically significant differences of the three methods intesting angle closure and angle recession （P〉0.05）. The consistency of UBM and gonioscopy was better（Kappa value of 0.882） than that of SL-OCT and gonioscopy （Kappa value of 0.624）. Conclusion Whentesting angle recession, UBM is better than SL-OCT with gonioscopy as the standard. When testing an-gle closure, UBM, SL-OCT and gonioscopy have good agreement. |
| Keywords: | forensic medicine microscopy acoustic tomography optical coherence gonioscope angle recession angle closure |
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