国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
4期
750-751
,共2页
周特红%魏学忠%唐思梦%崔建军
週特紅%魏學忠%唐思夢%崔建軍
주특홍%위학충%당사몽%최건군
基层医院%糖尿病视网膜病变%全视网膜光凝术
基層醫院%糖尿病視網膜病變%全視網膜光凝術
기층의원%당뇨병시망막병변%전시망막광응술
the primary hospital%diabetic retinopathy%panretinal photocoagulation
目的：探讨基层医院全视网膜光凝治疗糖尿病视网膜病变的疗效。<br> 方法：对55例92眼分别为增殖前期糖尿病视网膜病变（ PPDR）、增殖期糖尿病视网膜病变（ PDR ）患者进行全视网膜光凝术，术后3，6，12mo行眼底荧光血管造影（ FFA）及彩色眼底像，新生血管未消退者和无灌注区尚存者追加光凝，随访3～12 mo。<br> 结果：全视网膜光凝术后PPDR视力提高和视力不变者23眼（77％），视力下降者7眼（23％）；PDR视力提高和视力不变者44眼（71％），视力下降者18眼（29％）。经过一次全视网膜光凝后，3mo复查FFA，新生血管未退、无灌注区未消失者追加光凝， PPDR 有效率为29眼（97％），PDR有效率为50眼（81％）；13眼（14％）出现玻璃体出血转上级医院行玻璃体切割术。<br> 结论：基层医院全视网膜光凝治疗糖尿病视网膜病变疗效良好。
目的：探討基層醫院全視網膜光凝治療糖尿病視網膜病變的療效。<br> 方法：對55例92眼分彆為增殖前期糖尿病視網膜病變（ PPDR）、增殖期糖尿病視網膜病變（ PDR ）患者進行全視網膜光凝術，術後3，6，12mo行眼底熒光血管造影（ FFA）及綵色眼底像，新生血管未消退者和無灌註區尚存者追加光凝，隨訪3～12 mo。<br> 結果：全視網膜光凝術後PPDR視力提高和視力不變者23眼（77％），視力下降者7眼（23％）；PDR視力提高和視力不變者44眼（71％），視力下降者18眼（29％）。經過一次全視網膜光凝後，3mo複查FFA，新生血管未退、無灌註區未消失者追加光凝， PPDR 有效率為29眼（97％），PDR有效率為50眼（81％）；13眼（14％）齣現玻璃體齣血轉上級醫院行玻璃體切割術。<br> 結論：基層醫院全視網膜光凝治療糖尿病視網膜病變療效良好。
목적：탐토기층의원전시망막광응치료당뇨병시망막병변적료효。<br> 방법：대55례92안분별위증식전기당뇨병시망막병변（ PPDR）、증식기당뇨병시망막병변（ PDR ）환자진행전시망막광응술，술후3，6，12mo행안저형광혈관조영（ FFA）급채색안저상，신생혈관미소퇴자화무관주구상존자추가광응，수방3～12 mo。<br> 결과：전시망막광응술후PPDR시력제고화시력불변자23안（77％），시력하강자7안（23％）；PDR시력제고화시력불변자44안（71％），시력하강자18안（29％）。경과일차전시망막광응후，3mo복사FFA，신생혈관미퇴、무관주구미소실자추가광응， PPDR 유효솔위29안（97％），PDR유효솔위50안（81％）；13안（14％）출현파리체출혈전상급의원행파리체절할술。<br> 결론：기층의원전시망막광응치료당뇨병시망막병변료효량호。
AIM: To observe the effects of panretinal photocoagulation for diabetic retinopathy in the primary hospital. <br> METHODS: A total of 92 eyes in 55 cases respectively suffering from preproliferative diabetic retinopathy (PPDR), proliferative diabetic retinopathy ( PDR) were treated with panretinal photocoagulation. The fundus fluorescein angiography ( FFA ) and color photograph were taken 3, 6, 12mo after the treatment.For those cases with remaining new vessels and non-perfusion areas, the treatment was complemented with further photocoagulation.The follow-up period was 3-12mo. <br> RESULTS: After treating with panretinal photocoagulation, visual acuity were improved or maintained in 23 eyes ( 77%) and decreased in 7 eyes (23%) in group of PPDR;Visual acuity were improved or maintained in 44 eyes ( 71%) and decreased in 18 eyes ( 29%) in group of PDR. After one time panretinal photocoagulation, for those cases with remaining new vessels and non-perfusion areas, the treatment was complemented with further photocoagulation in 3mo after FFA, the effective rate was 29 eyes ( 97%) in group of PPDR, 50 eyes (81%) in group of PDR;13 eyes (14%) developed vitreous hemorrhage, were turned to the superior hospital for vitrectomy. <br> CONCLUSION: Panretinal photocoagulation is obviously effective in the treatment of diabetic retinopathy in the primary hospital.
