[1]刘梅.Retcam Ⅲ数字视网膜照相机在早产儿视网膜病变筛查中的应用[J].眼科新进展,2014,34(5):483-485.[doi:10.13389/j.cnki.rao.2014.0133]
　LIU Mei.Application of Retcam Ⅲ digital camera in retinopathy of premature screening[J].Recent Advances in Ophthalmology,2014,34(5):483-485.[doi:10.13389/j.cnki.rao.2014.0133]
点击复制

Retcam Ⅲ数字视网膜照相机在早产儿视网膜病变筛查中的应用
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
34卷
期数:
2014年5期
页码:
483-485
栏目:
应用研究
出版日期:
2014-05-05

文章信息/Info

Title:
Application of Retcam Ⅲ digital camera in retinopathy of premature screening
作者:
刘梅
４５００００　河南省郑州市， 郑州市儿童医院眼科
Author(s):
LIU Mei
关键词:
早产儿视网膜病变; ＲｅｔｃａｍⅢ数字视网膜照相机; 双目间接检眼镜成像系统
Keywords:
retinopathy of premature ;  Retcam Ⅲ digital retinal camera;  binocular indirect ophthalmoscope imaging system
DOI:
10.13389/j.cnki.rao.2014.0133
文献标志码:
A
摘要:
目的　探讨ＲｅｔｃａｍⅢ数字视网膜照相机在早产儿视网膜病变筛查中的应用。方法　选取２０１１年１１月至２０１２年１２ 月我院收治的符合筛查标准的３００例早产儿，分别采用双目间接检眼镜成像系统和ＲｅｔｃａｍⅢ数字视网膜照相机进行检查，分别记录两种检测技术的详细结果，采用双目间接检眼镜检测数据为标准对照，分别统计ＲｅｔｃａｍⅢ数字视网膜照相机的灵敏度、特异度、阳性预测值和阴性预测值。结果　ＲｅｔｃａｍⅢ数字视网膜照相机和双目间接检眼镜成像系统检测后分别准确诊断５０例（１６．６７％）和４８例（１６．００％），两组诊断准确率比较，差异无统计学意义（Ｐ＞０．０５）。ＲｅｔｃａｍⅢ数字视网膜照相机准确诊断５０ 例中，Ⅰ期病变６例，Ⅱ期病变１４例，Ⅲ期病变２４例，Ⅳ、Ⅴ期病变６例；双目间接检眼镜成像系统准确诊断４８例中，Ⅰ期病变７例，Ⅱ期病变１１例，Ⅲ期病变２４例，Ⅳ、Ⅴ期病变６例；两组病变分期诊断比较，差异无统计学意义（Ｐ＞０．０５）。在ＲＯＰ诊断方面，ＲｅｔｃａｍⅢ数字视网膜照相机准确诊断５０例，双目间接检眼镜成像系统准确诊断４８例，灵敏度高达１００．００％，特异度有９６．００％，阳性预测值为９５．１０％，阴性预测值为０．２３％。在阈值前病变和阈值病变诊断方面，双目间接检眼镜成像系统准确诊断３５例，双目间接检眼镜成像系统准确诊断３３例，灵敏度高达１００％，特异度有９４．２９％，阳性预测值为９３．５５％，阴性预测值为０．１６％。结论　ＲｅｔｃａｍⅢ数字视网膜照相机可以作为早产儿视网膜病变准确、有效、安全的筛查工具。
Abstract:
Objective To observe the application of Retcam Ⅲ digital retinal camera in retinopathy of premature ( ROP) screening. Methods Three hundreds premature infants in our hospital from November 2011 to December 2012 were chosen , the binocular indirect ophthalmoscope imaging system and Retcam III digital retinal camera were used for ROP screening , respectively. The examination results of binocular indirect ophthalmoscope imaging system were set as standard , the sensitivity , specificity , positive and negative predictive values of Retcam Ⅲ digital retinal camera were analyzed. Resrilts The diagnostic accuracy were made using Retcam Ⅲ digital retinal camera and binocular indirect ophthalmoscope imaging system in 50 cases ( 16. 67% ) and 48 cases ( 16. 00% ) ,respectively , there was no statistical difference rn accurate rate (P > 0. 05 ) . In 50 cases with ROP diagnosed by Retcam III digital retinal camera, period I lesions were in 6 cases,period II lesions in 14 cases ,period III lesions in 24 cases ,period IV . V lesions in 6 cases; In 48 cases with ROP diagnosed by binocular indirect ophthalmoscope imaging system , period I lesions were in 7 cases , period II lesions in II cases ,period Ⅲ lesions in 24 cases ,period IV . V lesions in 6 cases , there was no statistical difference in period diagnosis between two methods ( P > 0. 05 ) . For the diagnostic accuracy , the sensitivity , specificity , positive and negative predictive values of Retcam Ⅲ digital retinal camera were 100. 00% .96. 00% .95. 10% and 0. 23% ,respectively. For the pre-threshold and threshold diagnosis , the sensitivity , specificity, positive and negative predictive values of Retcam Ⅲ digital retinal camera were 100. 00% .94. 2g% .93. 55% and 0. 16% .respectively. Conclusion Retcam Ⅲ digital retinal camera can be used as a accurate . effective and safe screening tools for ROP.

相似文献/References:

[1]杜安杰 任兵 高晓唯 付燕 赵旭东 郭继华.氨基胍对氧诱导的视网膜病变小鼠视网膜神经细胞的保护作用[J].眼科新进展,2012,32(12):000.
[2]王宗华 董文丽 陈思扬.早产儿视网膜病变间接检眼镜激光治疗及危险因素分析[J].眼科新进展,2012,32(12):000.
[3]田妮 郭海科 项道满 陈锋 卢艳华.数字化双目间接检眼镜检查系统在早产儿视网膜病变筛查中的应用[J].眼科新进展,2012,32(12):000.
[4]李蓉 王雨生.早期治疗早产儿视网膜病变的多中心临床试验[J].眼科新进展,2012,32(3):000.
[5]彭娟 沙翔垠 杨瑞明 郑瑜.妊娠并发症及围产期感染与早产儿视网膜病变的关系[J].眼科新进展,2012,32(4):000.
[6]王淋淋 唐兰芬 谭建新 阮豫才 方玉兰.曲尼司特抑制早产儿视网膜病变大鼠模型血管新生和纤维化的实验研究[J].眼科新进展,2013,33(10):000.
[7]韩丽英 李兵.IGF-1对大鼠未成熟视网膜新生血管形成的影响[J].眼科新进展,2013,33(10):000.
[8]张国明 李娜 张福燕. 早产儿视网膜病变和足月新生儿眼病筛查指南[J].眼科新进展,2014,34(2):101.
[9]高尚.视网膜电图在早产儿视网膜病变激光术后视网膜功能评价中的应用[J].眼科新进展,2014,34(6):570.[doi:10.13389/j.cnki.rao.2014.0156]
[10]李志萍,吴焕卿,陈惠军.早产儿视网膜病变患儿血清谷氨酸浓度变化及其相关关系[J].眼科新进展,2014,34(8):782.[doi:10.13389/j.cnki.rao.2014.0216]
　Li Zhi-Ping,WU Huan-Qing,CHEN Hui-Jun.Changes of glutamate in serum of patients with retinopathy of prematurity and their correlation[J].Recent Advances in Ophthalmology,2014,34(5):782.[doi:10.13389/j.cnki.rao.2014.0216]

更新日期/Last Update: 2014-05-04