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纸质出版:2015
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齐林嵩,姚璐,安晶,张磊,张作明.视觉诱发电位和多焦点视网膜电图在眼钝挫伤功能评估中的作用[J].陆军军医大学学报(原第三军医大学学报),2015,37(10):1030-1034.
Qi Linsong,Yao Lu,An Jing,Zhang Lei,Zhang Zuoming.Visual evoked potential and multifocal electroretinogram in diagnosis of ocular contusion[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(10):1030-1034.
齐林嵩,姚璐,安晶,张磊,张作明.视觉诱发电位和多焦点视网膜电图在眼钝挫伤功能评估中的作用[J].陆军军医大学学报(原第三军医大学学报),2015,37(10):1030-1034. DOI:
Qi Linsong,Yao Lu,An Jing,Zhang Lei,Zhang Zuoming.Visual evoked potential and multifocal electroretinogram in diagnosis of ocular contusion[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(10):1030-1034. DOI:
目的 探讨视觉诱发电位(visual evoked potential,VEP)和多焦点视网膜电图(multifocal electroretinogram,mfERG)两种检测项目联合分析在评估眼钝挫伤视觉功能中的价值。 方法 对2012年11月至2013年7月期间来我院就诊的44例单侧眼挫伤患者进行视网膜电图(ERG)、视觉诱发电位(VEP)、多焦点视网膜电图(mfERG)检查,并与自身健侧眼为对照眼比较。同时分析图形VEP(P-VEP)和mfERG在诊断眼钝挫伤上的一致性,以及与受伤天数和视力的相关性。 结果 与健侧眼比较视觉电生理各指标,结果显示损伤眼表现为P-VEP P
100
的峰时值显著延长和幅值显著降低(P0.05),F-VEP P1的幅值显著降低(P0.05)和mfERG的中心反应幅值显著降低(P0.05)。P-VEP和mfERG两种方法对44例患者的诊断阳性率差异不显著,但是两种诊断结果的一致性极低,说明两种检查方法可以从两个方面对眼球钝挫伤进行诊断。受伤天数与P-VEP潜伏期和幅值、mfERG中心反应没有明显相关性。视力与P
100
峰时值具有相关性。 结论 眼外伤导致视神经受损的同时也可能伴有黄斑功能的下降,并且VEP和mfERG两种方法联合应用对眼外伤早期诊断,提高阳性率及后续的治疗工作具有重要意义。
Objective To investigate the value of visual evoked potential (VEP) Combined with multifocal electroretinogram (mfERG) in the diagnosis of ocular contusion. Methods VEP
electroretinogram (ERG) and mfERG were detected in 44 patients with unilateral optic nerve contusion
and the results were compared with those of contralateral healthy eyes. In addition
VEP and mfERG consistency in diagnosis of eye contusion was analyzed
and the correlation of the VEP
mfERG
injury duration and visual acuity was further analyzed. Results There were significant differences in the amplitude and the latency of pattern VEP (P-VEP) P
100
(P0.05)
and in the amplitude of mfERG (P0.05) and the amplitude of flash VEP (F-VEP) P1 (P0.05) between the damaged eyes and the contralateral healthy eyes
but there was no significant difference in ERGs. The injured duration had no correlation with the amplitude and the latency of P-VEP P
100
and mfERG
but the visual acuity was significantly relevant with the amplitude and the latency of P-VEP P
100
and the amplitude of mfERG. Conclusion Ocular trauma can lead to optic nerve damage and also may be associated with decreased macular function. The combination analysis of VEP and mfERG is beneficial to early diagnosis of ocular trauma
and can improve the positive rate in clinic practice.
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