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Cornea：激光原位角膜磨镶术后眼睛中央上皮厚度与中央角膜厚度的关系

2018-03-16 cuiguizhong MedSci原创

角膜中央上皮厚度中央角膜厚度
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俄罗斯圣彼得堡军事医学科学院眼科的Maltsev DS近日在Cornea发表了一项工作，他们研究了健康人中央上皮厚度（CET）与中央角膜厚度（CCT）之间的关系，并评估其在激光原位角膜磨削术（LASIK）后的变化。

俄罗斯圣彼得堡军事医学科学院眼科的Maltsev DS近日在Cornea发表了一项工作，他们研究了健康人中央上皮厚度（CET）与中央角膜厚度（CCT）之间的关系，并评估其在激光原位角膜磨削术（LASIK）后的变化。

在这项研究中，他们研究了包括150名（150只眼）接受LASIK手术的患者和83名健康人（83只眼）。在所有患者中，CET和CCT均采用前房光学相干断层扫描与Copernicus REVO进行B超检查。使用Spearman秩和检验、t检验和受试者工作特征曲线分析进行统计分析。

经过分析发现，在健康个体中，CET与CCT呈正相关（r = 0.5，P <0.001），CET与CCT比值为0.100±0.006。CET-CCT比值分别在术后1天和1个月时分别增加到0.111±0.009（P <0.001）和0.132±0.021（P <0.001）。CET-CCT比率的曲线下面积可以作为先前进行的近视LASIK诊断标准，其值为0.97（灵敏度93.5％，特异性91.6％）。

因此，他们认为，在健康个体中，角膜上皮贡献平均10.0％的角膜厚度。CET-CCT比值对于以前进行的近视LASIK指征有很高的预测价值。通过调整CCT的CET可以改善上皮厚度测量的临床应用。

原文出处：

Maltsev， D.S.， et al.， Relationship Between Central Epithelial Thickness and Central Corneal Thickness in Healthy Eyes and Eyes After Laser In Situ Keratomileusis. Cornea， 2018.

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    2018-03-18 oliver169

    #激光#

    0

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    2018-03-18 snowpeakxu

    #角膜#

    0

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    2018-03-18 紫迎馨

    学习了

    0

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    2018-03-17 chunjianf

    学习了.谢谢分享

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1279707, encodeId=131212e970762, content=<a href='/topic/show?id=265c66e50ea' target=_blank style='color:#2F92EE;'>#激光#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66750, encryptionId=265c66e50ea, topicName=激光)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4fd6156, createdName=oliver169, createdTime=Sun Mar 18 14:15:00 CST 2018, time=2018-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1349126, encodeId=74171349126f5, content=<a href='/topic/show?id=4337909284a' target=_blank style='color:#2F92EE;'>#角膜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90928, encryptionId=4337909284a, topicName=角膜)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=568152, createdName=snowpeakxu, createdTime=Sun Mar 18 14:15:00 CST 2018, time=2018-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297377, encodeId=4b3929e377c8, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/11/eb1f237032e0bf07b10833fc3722e645.jpg, createdBy=2fed2145219, createdName=紫迎馨, createdTime=Sun Mar 18 10:31:00 CST 2018, time=2018-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296993, encodeId=18c929699324, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRk75KAEKrLGic0S0IvH1aNynsEFQWiaNKdtzvtwj2kafCoPg2icYVbrfBCFiaS74X1uEiaaTTY1H9Xyem/0, createdBy=cec11614828, createdName=chunjianf, createdTime=Sat Mar 17 06:40:34 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296982, encodeId=5b1029698289, content=一起学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/TDiaAWyicHgedzX3wKo3qcxudVJib7AfibfvNeufHRF2jG3Bw8MmZyWjIhtBV1mpJI7Sy9n7RcBKK5t3CuOKuOFxkg/0, createdBy=dd702206933, createdName=wzb521zf, createdTime=Sat Mar 17 06:27:20 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296948, encodeId=bb9e296948c8, content=所有的断层刀剑众多一样, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Sat Mar 17 01:17:51 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296947, encodeId=6d3e29694e79, content=还有就是要认真对这个眼聚光, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Sat Mar 17 01:17:40 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296946, encodeId=45e229694612, content=原味角膜的供体bijiaoshao, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Sat Mar 17 01:17:27 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=296930, encodeId=f69a29693039, content=学习了.精细的手术, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Mar 17 00:31:44 CST 2018, time=2018-03-17, status=1, ipAttribution=)]
    2018-03-17 wzb521zf

    一起学习学习

    0

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    2018-03-17 雾夜芭蕾

    所有的断层刀剑众多一样

    0

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    2018-03-17 雾夜芭蕾

    还有就是要认真对这个眼聚光

    0

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    2018-03-17 雾夜芭蕾

    原味角膜的供体bijiaoshao

    0

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    2018-03-17 惠映实验室

    学习了.精细的手术

    0

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