摘要
目的研究远程眼科阅片筛查的疾病谱。设计回顾性病例系列。研究对象2015年3-4月北京同仁医院远程眼科阅片中心同一位眼科高级职称医师的连续远程阅片、来自54家中国不同地域基层医院的病例1192例。方法将上述病历资料用大恒普信远程阅片数据库软件导出后,用Excel软件和SPSS软件进行疾病分类统计。对筛查诊断有疑问病例由两位眼科高级职称医师核对确定。对年龄<50岁及≥50岁的患者,以及患者来自基层医院地理位置(黄河以北及以南)进行不同疾病构成比的比较分析。主要指标阅片筛查中的疾病构成比。结果 1192例患者中,屈光不正408例(34.3%),白内障273例(22.9%),高血压性视网膜病变228例(19.1%),正常眼底及正视眼160例(13.4%),视网膜动脉硬化114例(9.6%),糖尿病视网膜病变85例(7.1%),黄斑及后极部视网膜前膜57例(4.8%),病理性近视47例(3.9%),青光眼29例(2.4%),可疑青光眼27例(2.3%),视网膜分支静脉阻塞25例(2.1%),糖尿病黄斑水肿21例(1.8%),年龄相关性黄斑变性21例(1.8%)。50岁以下(366例)与50岁及以上(826例)的诊断分别是屈光不正168例(45.9%)与240例(29.1%);正常眼底及正视眼106例(29.0%)与54例(6.5%);白内障19例(5.2%)与254例(30.8%);高血压性视网膜病变23例(6.3%)与205例(24.8%);视网膜动脉硬化4例(1.1%)与109例(13.2%);糖尿病视网膜病变10例(2.7%)与75例(9.1%);黄斑及后极部视网膜前膜0例(0%)与57例(6.9%);青光眼4例(1.1%)与25例(3.0%);视网膜分支静脉阻塞2例(0.5%)与23例(2.8%);年龄相关性黄斑变性0例(0%)与21例(2.5%)。黄河以北(796例)与黄河以南(396例)地区的疾病诊断分别是高血压性视网膜病变172例(21.6%)与56例(14.1%);青光眼12例(1.5%)与17例(4.3%);玻璃体后脱离13例(1.6%)与14例(3.5%)。结论目前远程眼科阅片筛查诊断中,1/3的患者属于屈光不正;较常见的全身疾病眼部表现主要是高血压性视网膜病变、视网膜动脉硬化
Objective To study the constituent ratio of disease in ocular fundus image reading of teleophthalmology. Design Retrospective case series. Participants The same ophthalmologist continuous in Beijing Tongren Hospital reading center of teleophthalmology during March to April in 2015, evaluated patient data 1192 cases, from 54 Chinese different grassroots hospitals. Methods The report data of evaluation were exported with Daheng Prust remote reading database software, and analyzed with Excel and SPSS software. If the diagnosis of the screening was not explicit, another ophthalmologist would check the diagnosis data in the database. The disease constituent ratios in different age groups（ 50 and ≥ 50） and in different geographic location（ the northern and southern of the Yellow River） were compared. Main Outcome Measures The disease constituent ratio. Result In the all 1192 cases, ametropia was in 408 cases（34.3%）, cataract in 273 cases（22.9%）, hypertensive retinopathy in 228 cases（19.1%）, normal fundus in 160 cases（13.4%）, retinal arteriosclerosis in 114 cases（9.6%）, diabetic retinopathy in 85 cases（7.1%）, macular and the posterior proretinal membrane in 57 cases（4.8%）, pathological myopia in 47 cases（3.9%）, glaucoma in 29 cases（2.4%）, suspected glaucoma in 27 cases（2.3%）, branch retinal vein occlusion in 25 cases（2.1%）, diabetic macular edema in 21 cases（1.8%）, age-related macular degeneration in 21 cases（1.8%）. The disease diagnosis in less than 50 year group（366 cases） and in 50 years and over group（826 cases） respectively were ametropia in 168 cases（45.9%） and in 240 cases（29.1%）; normal fundus in 106 cases（29.0%） and in 54 cases（6.5%）; cataract in 19 cases（5.2%） and in 254 cases（30.8%）; hypertensive retinopathy in 23 cases（6.3%） and in 205 cases（24.8%）; retinal arteriosclerosis in 4 cases（1.1%） and in 109 cases（13.2）; diabetic retinopathy in 10 cases（2.7%） and in 75 cases（9.1%）; macular and the p
出处
《眼科》
CAS
CSCD
北大核心
2015年第4期220-225,共6页
Ophthalmology in China
基金
国家科技支撑计划课题(2013BAH19F04
2012BAH05F05)
首都医学发展专项基金(首发2011-1016-01)
关键词
远程眼科学
筛查
teleophthalmology
screening
