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中华重症医学电子杂志 ›› 2020, Vol. 06 ›› Issue (01) : 113 -116. doi: 10.3877/cma.j.issn.2096-1537.2020.033

所属专题: 文献

综述

超声测量视神经鞘直径评估颅内压增高的临床研究进展
赵立娜1, 谢晖1, 王瑞兰1,()   
  1. 1. 200080 上海,上海市第一人民医院急诊科
  • 收稿日期:2018-07-18 出版日期:2020-02-28
  • 通信作者: 王瑞兰
  • 基金资助:
    上海市卫生计生系统重要薄弱学科建设(2016ZB0205)

Ultrasonographic measurement of optic nerve sheath diameter for intracranial pressure monitoring

Lina Zhao1, Hui Xie1, Ruilan Wang1,()   

  1. 1. Department of Emergency, Shanghai General Hospital, Shanghai 200080, China
  • Received:2018-07-18 Published:2020-02-28
  • Corresponding author: Ruilan Wang
  • About author:
    Corresponding author: Wang Ruilan, Email:
引用本文:

赵立娜, 谢晖, 王瑞兰. 超声测量视神经鞘直径评估颅内压增高的临床研究进展[J/OL]. 中华重症医学电子杂志, 2020, 06(01): 113-116.

Lina Zhao, Hui Xie, Ruilan Wang. Ultrasonographic measurement of optic nerve sheath diameter for intracranial pressure monitoring[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2020, 06(01): 113-116.

颅内压监测在神经重症的治疗中十分重要,目前主要有无创和有创两种方法,各具优点,有创监测颅内压虽为颅内压监测的金标准,但缺点明显,无法广泛应用。视神经鞘具有特殊的解剖结构,颅内压增高时视神经鞘直径(ONSD)会出现增粗,故超声监测ONSD判断颅内压升高是一种无创、简便、易行且可以床旁重复操作的方法。本文就国内外超声监测ONSD判断颅高压研究进展进行综述。

Intracranial pressure (ICP) monitoring is very important in the treatment of severe neurological diseases. At present, there are mainly two methods of ICP monitoring: non-invasive and invasive, each of them has their own advantages. The invasive method is the gold standard, it has significant shortcomings and cannot be widely used. The optic nerve sheath (ONS) has a special anatomical structure. The diameter of the optic nerve sheath increases as intracranial pressure increases. Therefore, ultrasonographic measurement of optic nerve sheath diameterisanon-invasive, simple, feasible and repeatable method to determine the increase of intracranial pressure. This article reviews the progress in clinical researches on ultrasound monitoring of the diameter of optic sheat for the diagnosis of intracranial hypertension.

图1 视神经示意图(图片来自Liu等[3]
图2 电子显微镜下的POSS(图片来自Killer等[2])。POSS内可见小梁组成的复杂结构
图3 视神经由视神经鞘及POSS所包绕(图片来自Liu等[3]
图4 眼部超声技术(矢状面,图片来自Cimilli Ozturk等[6]
图5 视神经示意图及超声图像[7]
图6 眼内结构、视神经及视神经鞘的超声图像(图片来自del Saz-Saucedo等[8]
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