|
.. 1, .. 1,
.. 1, .. 2
(1-
, ,2
- . ..
)
()
, [5; 6].
, ,
, [2; 5].
.. .. (1997),
()
.
,
, ,
[ .., 1995; Zimmerman T.J., Wheeler T.M., 1982; Waller W., 1985; Croft M.A. et al., 1996; Pitch R., 1996; Maalouf ., 1996; Diggory P. et al,, 1996].
,
, .
, ,
.
() [10].
.
-
[4; 7; 10; 11].
- .
, ,
, v. ophthalmica superior et inferior ,
(. 1).
. 1.
,
.
, (dura
mater) , -
[3].
dura mater ,
.
.
.
.
.
() , ,
().
, ,
,
.
,
:
,
,
.
. 7 12 . . [3]. , , 5-10 . . , 8-21 . ., 16 . . [Hollows F. et al., 1966].
,
. ,
, , ,
.
- - (. 2).
. 2.
- ,
:
I:
- ;
II:
- ;
III:
;
IV: -
,
.
, ,
(granulationes arachnoideales),
. , ,
.
,
, D. Brookes (1981).
,
, .
, ,
.
, ,
,
. HRT-II (Heidelberg Engineering, ),
(. 3).
. 3.
hrt-II
HRT-II -
,
(. 4).
. 4. , HRT-II
.
- 0,001 [15].
: ,
, , ,
. 22
(. 5).
. 5.
( global)
, ,
(rim area), (mean
cup depth, maximum cup depth) [12; 13; 14].
,
HRT-II ,
,
.
,
( 0,003 ) [1].
-
.
1. ,
HRT-II,
.
2.
.
3.
.
- ,
-
, .. . ,
2001 2004 .
( ), .
7 (14 ) 53-65 , - 8
(16 ) 44-55 . ,
-,
, , ,
.
[6].
(0,5% )
17,6 . , . :
,
, HRT-II .
,
15- , .
,
, HRT-II
.
. 1.
. 1,
: OD (mean
cup depth) (<0,01) ;
OS (maximum cup depth) (p<0,05) .
(<0,05 OD, <0,001 OS) ( . 6)
.
1.
, ̱m
, ̱m
|
,
|
OD
|
OS
|
n1
|
n2
|
|
n1
|
n2
|
|
0,4710,03
0,2970,01
|
0,490,02
0,2990,01
|
0,002
0,215
|
0,480,02 0,470,07
0,2610,05 0,2590,05
|
0,264
0,418
|
, ̱m , ̱m
|
,
|
OD
|
OS
|
n1
|
n2
|
|
n1
|
n2
|
|
1,060,038 0,6110,05
|
1,050,040 0,6140,05
|
0,657 0,414
|
1,050,018
0,5840,05
|
1,030,016 0,5840,05
|
0,014 1,000
|
, ̱m , ̱m
|
,
|
OD
|
OS
|
n1
|
n2
|
|
n1
|
n2
|
|
0,0800,02 0,0710,03
|
0,0700,02 0,0700,03
|
0,049 0,138
|
0,0590,04
0,0640,02
0
|
0,0730,02
0,0680,02
|
0,0001 0,0001
|
, ̱m , ̱m
|
,
|
OD
|
OS
|
n1
|
n2
|
|
n1
|
n2
|
|
0,1160,006 0,1050,003
|
0,1250,010 0,1060,002
|
0,241 0,608
|
0,1130,005 0,0930,003
|
0,1160,006
0,0950,004
|
0,462
0,195
|
: <0,001
( 99,9%);
n1
- ; OD -
;
n2
- ; OS - ;
<0,05 ( 95%);
- ;
<0,01 ( 99%);
- .
. 6.
, HRT-II,
.
, (. 7).
.7.
-
<0,001.
,
- , ..
. (2001), .. (2003), R. Caporossi, F. Peyralade
(1992), V.M. Frymann (1998), -
.
,
( ).
, , ,
.
,
, ,
.
,
.
.
,
.
1.
(<0,01),
(<0,05)
(<0,05 OD, <0,001 OS),
/
.
2.
(<0,001 OS),
.
3. ,
,
,
,
.
1.
,
,
,
.
2.
, - ,
.
3.
.
1. ..
,
HRT-II // . - 2004. -
1 (9). - J. 44-47.
2.
.., ..
//
. - 2003. - . 4. - 3. - . 119-122.
3.
..
: . - .: , 2001. - 352
.
4.
..
-
( ): . ... . . .- ., 2003. - 139.
5.
.. . - .: ,
1995. 256 .
6.
.., ..
// . - 2001. - . 2. - 2. - . 35-38.
7.
.., ..,
.., ..
()
. - .: , 2001. - 20.
8.
.., ..
//
. . IV ,
8-12 1997, . - .: ֫, 1997. - . 147.
9.
Brookes D. Lectures on
cranial osteopathy. Thorsons Publishers Limited, 1981. - 234 p.
10. Caporossi R., Peyralade F. Traite pratique
d'osteopathie cranienne. S.I.O. - Editionis de Verlaque, 1992. - 800 p.
11. Frymann V.M. Legacy of Osteopathy to Children. -
JAOA, 1998. - 360 p.
12. lesterM., Mikelberg F.S., CourtrightP.,
BurkP.O., Caprioli J., Jonas J.B., Weinreb R.N., Zangwill L Interobserver
variability of optic disk variables measured by confocal scanning laser
tomography//Am. J. Ophthalmol. - 2001, Jul. - Vol.132. - N1. - P. 57-62.
13. Rohrschneider K., Burk R.O., Kruse F.E., Volcker
H.E. Reproducibility of the optic nerve head topography with a new laser
tomographic scanning device // Ophthalmology. - 1994, Jun. - Vol. 101. - N 6. -
P. 1044-1049.
14. Sihota R., GulatiV.,Agarwal H.C., Saxena R.,
SharmaA., Pandey R.M. Variables affecting test-retest variability of Heidelberg
Retina Tomograph II stereometric parameters // J. Glaucoma. - 2002, Aug. - Vol.
11. - N 4. - P. 321-328.
15. Uchida H.,TomitaG., ShibaharaS., Sugiyama K., Kitazawa Y.
Diagnostic capabilities of a classification program of the Heidelberg Retina
Tomograph for early glaucomatous changes // Nippon Ganka Gakkai Zasshi. - 1998.
- Vol. 102. - P. 333-339.
Moore K.L.Agur A.M. R. Essential Clinical Anatomy. - Baltimore, MD: Williams &Wilkins, 1996. - P. 359
..
: . - .: , 2001. - .
103.
|
|
|