中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2010年
4期
390-392
,共3页
视网膜裂孔%激光%随访
視網膜裂孔%激光%隨訪
시망막렬공%격광%수방
Retinal holes%Laser%Long-term follow-up
目的 讨论圆形裂孔伴有视网膜变性激光治疗的效果.方法 回顾性分析视网膜变性伴有圆形裂孔患者256例(272只眼)接受氩激光治疗,同期192例(198只眼)未接受激光的自然观察病例做对照.分析其在追踪观察时间(36.2±8.6)个月内的视网膜脱离发生率、视网膜脱离发生时间以及原裂孔与视网膜脱离发生的关系.结果 两组视网膜脱离发生率分别为12.6%和13.1%,对比差异无统计学意义(P＞0.05).激光治疗组6个月内视网膜脱离发生率为35.2%,对照组为19.2;两组对比差异有统计学意义(P＜0.05).激光治疗组17.7%的患者为原裂孔引发的视网膜脱离,对照组38.4%是原裂孔引起,两组对比差异有统计学意义(P＜0.05).结论 视网膜变性伴有圆形裂孔自然病例视网膜脱离的发生率与激光治疗并无差别,而且激光治疗组在6个月内视网膜脱离发生率明显高于对照组.大多数新裂孔可能与激光有关,对视网膜变性伴有圆形裂孔激光治疗应持慎重态度.
目的 討論圓形裂孔伴有視網膜變性激光治療的效果.方法 迴顧性分析視網膜變性伴有圓形裂孔患者256例(272隻眼)接受氬激光治療,同期192例(198隻眼)未接受激光的自然觀察病例做對照.分析其在追蹤觀察時間(36.2±8.6)箇月內的視網膜脫離髮生率、視網膜脫離髮生時間以及原裂孔與視網膜脫離髮生的關繫.結果 兩組視網膜脫離髮生率分彆為12.6%和13.1%,對比差異無統計學意義(P＞0.05).激光治療組6箇月內視網膜脫離髮生率為35.2%,對照組為19.2;兩組對比差異有統計學意義(P＜0.05).激光治療組17.7%的患者為原裂孔引髮的視網膜脫離,對照組38.4%是原裂孔引起,兩組對比差異有統計學意義(P＜0.05).結論 視網膜變性伴有圓形裂孔自然病例視網膜脫離的髮生率與激光治療併無差彆,而且激光治療組在6箇月內視網膜脫離髮生率明顯高于對照組.大多數新裂孔可能與激光有關,對視網膜變性伴有圓形裂孔激光治療應持慎重態度.
목적 토론원형렬공반유시망막변성격광치료적효과.방법 회고성분석시망막변성반유원형렬공환자256례(272지안)접수아격광치료,동기192례(198지안)미접수격광적자연관찰병례주대조.분석기재추종관찰시간(36.2±8.6)개월내적시망막탈리발생솔、시망막탈리발생시간이급원렬공여시망막탈리발생적관계.결과 량조시망막탈리발생솔분별위12.6%화13.1%,대비차이무통계학의의(P＞0.05).격광치료조6개월내시망막탈리발생솔위35.2%,대조조위19.2;량조대비차이유통계학의의(P＜0.05).격광치료조17.7%적환자위원렬공인발적시망막탈리,대조조38.4%시원렬공인기,량조대비차이유통계학의의(P＜0.05).결론 시망막변성반유원형렬공자연병례시망막탈리적발생솔여격광치료병무차별,이차격광치료조재6개월내시망막탈리발생솔명현고우대조조.대다수신렬공가능여격광유관,대시망막변성반유원형렬공격광치료응지신중태도.
Objective To explore the therapeutic effect of argon laser therapy of retinal degeneration with oval-shaped retinal holes.Methods A total of 256 retinal degeneration patients (272 eyes) with retinal holes who underwent the argon laser therapy in our department were retrospectively analyzed,which was compared with the natural course of retinal degeneration with oval-shaped retinal holes of 192 patients (198 eyes)without argon laser therapy.Tbe retinal detachment rate,the time of the retinal detachment developed and the relationship between retinal detachment were analyzed during the 36.2±8.6 months follow-up time.Results The retinal detachment rate of two groups was about 12.6% and 13.1% respectively.Tbe difference was not statistically significant.However,at the first 6 months the retinal detachment rate of about 35.2% and 9.2% respectively.Difference between the two groups was statistically significant (P＜0.05).The retinal detachment was 17.7% in the original retinal holes of the patients and 38.4% who has underwent the laser therapy group.Difference between the two groups was statistically significant (P＜0.05).Conclusions The difference between the two groups of the patients either received laser therapy or not is not statistically significant in the retinal degeneration with oval-shaped retinal holes.It is easy to see that the number of retinal detachment in the group of patients who have underwent the laser therapy is more than the other group at the fist 3 months.The laser therapy may be the cause of the new retinal holes.So laser therapy on the retinal degeneration with oval-shaped retinal hole needs to be cautious.
