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第三军医大学西南医院全军眼科中心
纸质出版日期:2007,
网络出版日期:2007-08-30,
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张敏芳, 刘波, 孟晓红. 正常人OCT不同扫描直径视乳头圆周神经纤维层厚度研究[J]. 陆军军医大学学报, 2007,29(16):1621-1623.
ZHANG MIN-FANG, LIU BO, MENG XIAO-HONG. Thickness of retinal nerve fiber layer with different scan diameters using optical coherence tomography in normal human eyes. [J]. Journal of army medical university, 2007, 29(16): 1621-1623.
张敏芳, 刘波, 孟晓红. 正常人OCT不同扫描直径视乳头圆周神经纤维层厚度研究[J]. 陆军军医大学学报, 2007,29(16):1621-1623. DOI:
ZHANG MIN-FANG, LIU BO, MENG XIAO-HONG. Thickness of retinal nerve fiber layer with different scan diameters using optical coherence tomography in normal human eyes. [J]. Journal of army medical university, 2007, 29(16): 1621-1623. DOI:
目的 采用光学相干断层扫描术(optical coherence tomography, OCT)观察正常人环绕视乳头圆周3.0 mm直径和3.46 mm直径视网膜神经纤维层(retinal nerve fiber layer, RNFL)厚度
评价两者之间的差异及其临床意义。 方法 在本科行OCT检查的正常人98人112眼,采用Zeiss OCT 3000对同一检查者分别进行以视乳头为中心3.0 mm直径和3.46 mm直径的圆周环行扫描,结果用RNFL THICKNESS AVERAGE程序分析RNFL厚度。 结果 正常人不同年龄组之间的RNFL厚度无显著性差异(P>0.05);2种扫描直径所测量的各象限RNFL厚度之间差异显著(P<0.01);上、下象限之间厚度没有显著性差异(P>0.05),但与鼻、颞侧象限厚度之间具有显著性差异(P<0.01)。 结论 OCT定量检测正常人RNFL厚度重复性较好,采用不同的扫描直径可提供不同的RNFL厚度值,为临床诊断提供依据。
Objective To observe the thickness of retinal nerve fiber layer (RNFL) at the circle around optical nerve with a scanning area of 3.0 mm or 3.46 mm at diameter using optical coherence tomography (OCT) in normal subjects and evaluate the difference between them and its clinical meanings. Methods Zeiss OCT 3000 was used in 112 eyes of 98 normal subjects in our hospital to measure RNFL thickness with circle scan (diameter
3.0 mm and 3.46 mm) around optical nerve. All data were analyzed in the program of RNFL THICKNESS AVERAGE. Results There were no obvious difference among normal subjects at different ages(P>0.05).Significant difference was seen in the thickness of RNFL at different scanning diameters(P<0.01).No significant difference was seen between the superior and the inferior
but significance was observed between the nasal and the temporal. Conclusion OCT measuring RNFL thickness in normal subjects has good reproducibility and it can provide the evidence for clinical diagnosis according to the different RNFL thickness with different scanning diameter.
光学相干断层扫描术正常人视网膜神经纤维层厚度
optical coherence tomographynormal subjectsretinal nerve fiber layer
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