CAJ | 학술논문

目的探讨视网膜毛细血管瘤(retinal capillary hemangioma,RCH;)激光光凝及血管瘤切除手术适应证及治疗效果.方法回顾性分析8例(9只眼)RCH患者,采用激光光凝治疗以及玻璃体切除联合血管瘤切除手术治疗前后临床资料,根据肿瘤生长部位、大小以及生长特点采用不同治疗方法.其中2例中周边部RCH患者采用单纯激光光凝肿瘤及滋养血管治疗;1例行单纯玻璃体切除术后激光治疗,1例激光治疗后又作玻璃体切除术中冷冻治疗;4例5只眼行玻璃体切除联合肿瘤切除术.结果位于后极部及中周部瘤体较小(约<1.5PD)的RCH激光光凝可以使瘤体萎缩.明显凸出于玻璃体内生长的RCH采用玻璃体切除联合血管瘤体切除术,顺利摘除肿瘤.结论 RCH瘤体<1.5PD或外生型RCH,均可激光光凝治疗,内生型RCH,尤其瘤体直径>1.5PD时手术切除肿瘤更合适,安全有效.
목적 탐토시망막모세혈관류(retinal capillary hemangioma,RCH;)격광광응급혈관류절제수술괄응증급치료효과.방법 회고성분석8례(9지안)RCH환자,채용격광광응치료이급파리체절제연합혈관류절제수술치료전후림상자료,근거종류생장부위、대소이급생장특점채용불동치료방법.기중2례중주변부RCH환자채용단순격광광응종류급자양혈관치료;1례행단순파리체절제술후격광치료,1례격광치료후우작파리체절제술중냉동치료;4례5지안행파리체절제연합종류절제술.결과 위우후겁부급중주부류체교소(약<1.5PD)적RCH격광광응가이사류체위축.명현철출우파리체내생장적RCH채용파리체절제연합혈관류체절제술,순리적제종류.결론 RCH류체<1.5PD혹외생형RCH,균가격광광응치료,내생형RCH,우기류체직경>1.5PD시수술절제종류경합괄,안전유효.
Objective investigate the indication and therapeutic efficacy of laser photccoagulation and surgical resection on retinal capillary henmangioma.Methods By retrospectively reviewing 8 cases(9 eyes) of retinal capillay hemangioma which laser photoeoagulation and vitrectomy combined with heman- gioma resection were applied to,We analyze how to decide therapies in accord with the location,size and growth characteristics of the hcmangioma.Different therapies、were employed in the 8 cases:laser photocoagula- tion was applied to the hemangioma and its feeder vessels of 2 patients with mid-peripheral retinal capillary he mangioma;laser photocoagulation was applied to 1 patient who had had vitrectomy;and vitreetomy combined with hemangioma resection was applied to 5 eyes (4 patients).Results The retinal capillary hemangioma (<1.5 PD in diameter) at posterior pole or mid-peripheral was significantly shrunken by laser photoeoagulation. The retinal capillary hemangoma projected to vitreous was successfully removed by vitreoretinal surgery.Con- clusions The favorable curative effects on our paaents confirmed the efficacy of laser photocoagulafion on retinal capillary hemangioma (<1.5PD in diameter) and the exophytic hemangioma.It also showed that ento-phytie retinal capillary hemangioma (>1.5PD in diameter) could be effectively resected by vitrectomy.