中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
Chinese Journal of Practical Ophthalmology
2015年
9期
1047-1049
,共3页
高永峰%赵朝霞%雷祥%程志兴
高永峰%趙朝霞%雷祥%程誌興
고영봉%조조하%뢰상%정지흥
视网膜光凝%新生血管膜%增殖性糖尿病视网膜病变%玻璃体切除术
視網膜光凝%新生血管膜%增殖性糖尿病視網膜病變%玻璃體切除術
시망막광응%신생혈관막%증식성당뇨병시망막병변%파리체절제술
Retinal photocoagulation%Fibrovascular tissue%Proliferative diabetic retinopathy%Vitrectomy
目的 探讨视网膜光凝对增殖性糖尿病视网膜病变(PDR)新生血管膜粘连程度的影响.方法 对2014年1月至2015年1月在河南省立眼科医院就诊的PDR患者73例80只眼,其中光凝组和非光凝组各40只眼.术前B超检查眼后段情况,玻璃体手术中观察新生血管膜粘连特征,分析光凝组和非光凝组新生血管膜程度的差异.结果 激光组视网膜新生血管粘连范围＞1 PD的眼数为18只眼(45％),非激光组为29只眼(72.5％),两组差异具有统计学意义(x2=6.241,P =0.012).两组在颞上、颞下、鼻上和鼻下部位发生新生血管的眼数差异无统计学意义.激光组伴有牵拉性视网膜脱离的眼数为19只眼(47.5％),非激光组为24只眼(60％),两组差异无统计学意义(P＞0.05).结论 视网膜光凝可以减轻增殖性糖尿病视网膜病变新生血管膜粘连程度,降低手术难度.
目的 探討視網膜光凝對增殖性糖尿病視網膜病變(PDR)新生血管膜粘連程度的影響.方法 對2014年1月至2015年1月在河南省立眼科醫院就診的PDR患者73例80隻眼,其中光凝組和非光凝組各40隻眼.術前B超檢查眼後段情況,玻璃體手術中觀察新生血管膜粘連特徵,分析光凝組和非光凝組新生血管膜程度的差異.結果 激光組視網膜新生血管粘連範圍＞1 PD的眼數為18隻眼(45％),非激光組為29隻眼(72.5％),兩組差異具有統計學意義(x2=6.241,P =0.012).兩組在顳上、顳下、鼻上和鼻下部位髮生新生血管的眼數差異無統計學意義.激光組伴有牽拉性視網膜脫離的眼數為19隻眼(47.5％),非激光組為24隻眼(60％),兩組差異無統計學意義(P＞0.05).結論 視網膜光凝可以減輕增殖性糖尿病視網膜病變新生血管膜粘連程度,降低手術難度.
목적 탐토시망막광응대증식성당뇨병시망막병변(PDR)신생혈관막점련정도적영향.방법 대2014년1월지2015년1월재하남성립안과의원취진적PDR환자73례80지안,기중광응조화비광응조각40지안.술전B초검사안후단정황,파리체수술중관찰신생혈관막점련특정,분석광응조화비광응조신생혈관막정도적차이.결과 격광조시망막신생혈관점련범위＞1 PD적안수위18지안(45％),비격광조위29지안(72.5％),량조차이구유통계학의의(x2=6.241,P =0.012).량조재섭상、섭하、비상화비하부위발생신생혈관적안수차이무통계학의의.격광조반유견랍성시망막탈리적안수위19지안(47.5％),비격광조위24지안(60％),량조차이무통계학의의(P＞0.05).결론 시망막광응가이감경증식성당뇨병시망막병변신생혈관막점련정도,강저수술난도.
Objective To identify the effect of retinal photocoagulation on the degree of adhesion between the retinal surface and the fibrovascular tissuein proliferative diabetic retinopathy(PDR).Methods Pars planavitrectomy was performed for the 73 cases (80 eyes) with PDRin type 2 diabetes.Theseeyes were assigned to the retinal photocoagulationand noretinal photocoagulation groups(40 eyes,respectively).All cases had B-scan examination.The morphologic characteristics of fibrovasculartissueinneovascularization elsewhere(NVE)was identified during the surgery.The differences of adhesiondegree between the prior retinal photocoagulation group and no priorretinal photocoagulation groupwere compared.Results Eighteen eyes (45％) and 29 eyes (72.5％)with adhesionalfibrovascular tissue of ＞ 1PD area was observedin the retinal photocoagulation andnoretinal photocoagulation groups, respectively;there was a significant difference(P ＜0.05) on both groups.Adhesionalfibrovascular tissuewas observedin the supertemporal, Infratemporal,supemasal and intranasal quadrant,respectively;there wasno significant differencein both groups.Nineteen eyes (47.5％) and 24 eyes (60％) with tractional retinal detachment was observedin the retinal photocoagulationand no retinal photocoagulation groups, respectively;there was no significant difference(P ＞0.05) on both groups.Conclusions Retinal photocoagulation on the fibrovascular proliferations in PDR is effective at preventing PDR development, reducingthe degree of fibrovascularadhesionandsimplifyingoperation in difficulty.
