中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2015年
6期
690-693
,共4页
视网膜分支静脉阻塞%黄斑水肿%激光%光学相干断层扫描
視網膜分支靜脈阻塞%黃斑水腫%激光%光學相榦斷層掃描
시망막분지정맥조새%황반수종%격광%광학상간단층소묘
Branch retinal vein occlusion%Macular edema%Laser%Optical coherence tomography
目的 观察532 nm激光治疗缺血型视网膜分支静脉阻塞黄斑水肿治疗效果,对比行黄斑区格栅光凝与未行黄斑区格栅光凝临床疗效是否有差异.方法 对2014年1～7月在抚顺市眼病医院经回顾性分析视网膜分支静脉阻塞(BRVO)继发黄斑水肿患者30例30只眼,A组15例行无灌注区视网膜激光光凝联合黄斑区格栅光凝治疗;B组15例单纯行无灌注区视网膜激光光凝, 观察治疗后1、3、6个月的黄斑水肿消退情况.结果 A组治疗前黄斑区中心凹厚度(573.20±155.34)μm,治疗后1、3、6个月黄斑区中心凹厚度分别为(534.40±151.94) μm、(415.26±120.19) μm、(286.13±81.38)μm,治疗后较治疗前黄斑水肿均减轻,差异有统计学意义(P＜0.05).B组治疗前黄斑区中心凹厚度(585.86±160.19) μm,治疗后1、3、6个月黄斑区中心凹厚度分别为(568.80±159.04) μm、(525.20±143.49) μm、(426.20±116.46)μm,治疗后较治疗前黄斑水肿均减轻,差异有统计学意义(P＜0.05).治疗后1、3、6个月两组间比较,1个月时黄斑区中心凹厚度无差异,3、6个月时差异有统计学意义(P＜0.05).治疗后6个月内两组均无视网膜新生血管形成.结论 黄斑区格栅光凝能有效地减轻视网膜分支静脉阻塞黄斑水肿,行无灌注区视网膜激光光凝能有效预防新生血管形成.
目的 觀察532 nm激光治療缺血型視網膜分支靜脈阻塞黃斑水腫治療效果,對比行黃斑區格柵光凝與未行黃斑區格柵光凝臨床療效是否有差異.方法 對2014年1～7月在撫順市眼病醫院經迴顧性分析視網膜分支靜脈阻塞(BRVO)繼髮黃斑水腫患者30例30隻眼,A組15例行無灌註區視網膜激光光凝聯閤黃斑區格柵光凝治療;B組15例單純行無灌註區視網膜激光光凝, 觀察治療後1、3、6箇月的黃斑水腫消退情況.結果 A組治療前黃斑區中心凹厚度(573.20±155.34)μm,治療後1、3、6箇月黃斑區中心凹厚度分彆為(534.40±151.94) μm、(415.26±120.19) μm、(286.13±81.38)μm,治療後較治療前黃斑水腫均減輕,差異有統計學意義(P＜0.05).B組治療前黃斑區中心凹厚度(585.86±160.19) μm,治療後1、3、6箇月黃斑區中心凹厚度分彆為(568.80±159.04) μm、(525.20±143.49) μm、(426.20±116.46)μm,治療後較治療前黃斑水腫均減輕,差異有統計學意義(P＜0.05).治療後1、3、6箇月兩組間比較,1箇月時黃斑區中心凹厚度無差異,3、6箇月時差異有統計學意義(P＜0.05).治療後6箇月內兩組均無視網膜新生血管形成.結論 黃斑區格柵光凝能有效地減輕視網膜分支靜脈阻塞黃斑水腫,行無灌註區視網膜激光光凝能有效預防新生血管形成.
목적 관찰532 nm격광치료결혈형시망막분지정맥조새황반수종치료효과,대비행황반구격책광응여미행황반구격책광응림상료효시부유차이.방법 대2014년1～7월재무순시안병의원경회고성분석시망막분지정맥조새(BRVO)계발황반수종환자30례30지안,A조15례행무관주구시망막격광광응연합황반구격책광응치료;B조15례단순행무관주구시망막격광광응, 관찰치료후1、3、6개월적황반수종소퇴정황.결과 A조치료전황반구중심요후도(573.20±155.34)μm,치료후1、3、6개월황반구중심요후도분별위(534.40±151.94) μm、(415.26±120.19) μm、(286.13±81.38)μm,치료후교치료전황반수종균감경,차이유통계학의의(P＜0.05).B조치료전황반구중심요후도(585.86±160.19) μm,치료후1、3、6개월황반구중심요후도분별위(568.80±159.04) μm、(525.20±143.49) μm、(426.20±116.46)μm,치료후교치료전황반수종균감경,차이유통계학의의(P＜0.05).치료후1、3、6개월량조간비교,1개월시황반구중심요후도무차이,3、6개월시차이유통계학의의(P＜0.05).치료후6개월내량조균무시망막신생혈관형성.결론 황반구격책광응능유효지감경시망막분지정맥조새황반수종,행무관주구시망막격광광응능유효예방신생혈관형성.
Objective To observe the curative effect on 532nm laser in the treatment of macular edema with ischemic branch retinal vein occlusion,contrast for macular grid photocoagulation with no clinical efficacy of macular grid photocoagulation.Methods A retrospective analysis of branch retinal vein occlusion (BRVO) in patients with macular edema who was in Fushun Ophthalmology hospital during January-July 2014 in 30 eyes of 30 cases,15 cases in group A with non perfusion area retinal laser photocoagulation combined with macular grid photocoagulation treatment;15 cases in group B with non-perfusion area laser photocoagulation,Observed treatment after 1 month,3months,6 months of macular edema subsided.Results The group prior A treatment macular foveal thickness was (573.20±155.34)μm,after 1 month,3 months and 6 months of treatment of macular foveal thickness was (534.40±151.94)μm,(415.26±120.19)μm,(286.13±81.38)μm,after treatment than before treatment,macular edema was relieved in all patients,the difference had statistical significance (P＜0.05).The group B prior treatment macular foveal thickness was (585.86±160.19)μm,after 1 month,3 months and 6 months of treatment of macular foveal thickness was (568.80±159.04)μm,(525.20±143.49)μm,(426.20±116.46)μm,after treatment than before treatment,macular edema was relieved in all patients,the difference had statistical significance (P ＜0.05).Effect of different periods respectively in the two groups after treatment were compared,the difference was not statistically significant after 1 month of treatment (P ＞0.05);3 months and 6 months after treatment,the differences were statistically significant (P ＜0.05);6 months after treatment in two groups had no retinal neovascularization.Conclusions Macular grid photocoagulation can effectively reduce the macular edema with branch retinal vein occlusion,for non-perfusion area laser photocoagulation is effective in preventing the retinal neovascularization.
