CAJ | 학술논문

目的：对比分析不同激光光凝术治疗增殖期糖尿病性视网膜病变的疗效。方法增殖期糖尿病性视网膜病变患者156例(251眼)作为研究对象,根据手术方法不同分为两组,各78例。对照组行全视网膜激光光凝术,观察组行象限视网膜激光光凝术,观察黄斑中心凹厚度和视野缺损变化,随访3个月观察视力水平。结果观察组视力提高率38.46%显著高于对照组15.38%,视力下降率8.97%显著低于对照组24.36%,差异具有统计学意义(P<0.05)。观察组治疗后黄斑中心凹厚度和视野缺损分别为(218.61±31.27)μm、(2.53±1.42)db,均显著低于对照组,差异具有统计学意义(P<0.05)。结论采用象限视网膜激光光凝术治疗增殖期糖尿病性视网膜病变,可减少对黄斑区功能损伤,提高视力水平。
목적：대비분석불동격광광응술치료증식기당뇨병성시망막병변적료효。방법증식기당뇨병성시망막병변환자156례(251안)작위연구대상,근거수술방법불동분위량조,각78례。대조조행전시망막격광광응술,관찰조행상한시망막격광광응술,관찰황반중심요후도화시야결손변화,수방3개월관찰시력수평。결과관찰조시력제고솔38.46%현저고우대조조15.38%,시력하강솔8.97%현저저우대조조24.36%,차이구유통계학의의(P<0.05)。관찰조치료후황반중심요후도화시야결손분별위(218.61±31.27)μm、(2.53±1.42)db,균현저저우대조조,차이구유통계학의의(P<0.05)。결론채용상한시망막격광광응술치료증식기당뇨병성시망막병변,가감소대황반구공능손상,제고시력수평。
Objective To compare and analyze the curative effects by different laser photocoagulations in the treatment of proliferating phase diabetic retinopathy.Methods A total of 156 patients (251 eyes) with proliferating phase diabetic retinopathy as study subjects were divided by surgical methods into two groups, and each group contained 78 cases. The control group received panretinal laser photocoagulation, and the observation group received quadrant retinal laser photocoagulation. Observations were made on central foveal thickness, visual field defect changes, and eyesight level after 3-month follow-up.Results The eyesight increase rate was 38.46% in the observation group, and that was much higher than 15.38% of the control group. Eyesight decrease rate was much lower in the observation group as 8.97% than 24.36% of the control group. The differences had statistical significance (P<0.05). After treatment, the observation group had central foveal thickness and visual field defect as (218.61±31.27)μm and (2.53±1.42)db, which were all lower than those in the control group, and the difference had statistical significance (P<0.05).Conclusion Application of quadrant retinal laser photocoagulation can reduce function damage in macular region and increase eyesight level in treating proliferating phase diabetic retinopathy.