Diagnostic value of conventional ultrasound, color Doppler ultrasonography and contrast-enhanced ultrasound in sub-retinal hemorrhage
10.3877/cma.j.issn.1672-6448.2017.10.003
- VernacularTitle:常规超声与彩色多普勒及超声造影在视网膜下出血诊断中的应用价值
- Author:
Lin SHEN
1
;
Wenli YANG
;
Dongjun LI
;
Ziyang WANG
;
Wei CHEN
;
Qi ZHAO
;
Yifeng LI
;
Rui CUI
Author Information
1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室
- Keywords:
Conventional ultrasound;
Color Doppler ultrasound;
Contrast-enhanced ultrasound;
Sub-retinal hemorrhage
- From:
Chinese Journal of Medical Ultrasound (Electronic Edition)
2017;14(10):730-733
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of conventional ultrasound, color Doppler ultrasound and contrast-enhanced ultrasound (CEUS) in the diagnosis of sub-retinal hemorrhage. Methods A total of 26 patients with sub-retinal hemorrhage were examined by conventional ultrasound, color Doppler ultrasound and CEUS. The results of medical history, ultrasound, color Doppler ultrasound and CEUS were recorded and analyzed.And the difference of the detection rate between the three methods was analyzed by χ2test. Results The mean fundus diameter of the sub-retinal hemorrhage was (5.31±2.21) mm, and the mean height was (1.97±0.98) mm. In twenty-two eyes (84.6%) the lesions were located in the posterior pole of the ocular wall, while in two eyes (7.7%) the lesions were located in the equator and peripheral of the ocular wall. Seven eyes (26.9%) had dome-shaped mass, ten eyes (38.5%) had flat-shaped mass, and nine eyes (34.9%) had irregular-shaped mass. The echogenecity of the lesions was homogeneous in twelve eyes (46.2%), and heterogeneous in fourteen eyes (53.8%). The lesions showed clear margin in seventeen eyes (65.4%). Blood flow signals can be detected in twenty-three eyes (88.5%). The surface of the lesions was filled by contrast-medium in all cases. The detection rate of sub-retinal hemorrhage with color Doppler and contrast-enhanced ultrasound was higher than that of conventional ultrasound, and the difference was statistically significant. Conclusion Color Doppler ultrasonography and CEUS can provide a powerful basis for the clinical diagnosis of sub-retinal hemorrhage, while CEUS has higher application value.
