全视网膜光凝治疗糖尿病视网膜病变的疗效观察  

Curative effect of panretinal photocoagulation in the treatment of diabetic retinopathy

作　　者：宋艳萍[1] 刘琼[1] 丁琴[1] 

机构地区：[1]广州军区武汉总医院眼科,湖北武汉430070

出　　处：《眼科新进展》2004年第6期482-483,共2页Recent Advances in Ophthalmology

摘　　要：目的　对多波长氪激光全视网膜光凝治疗糖尿病视网膜病变 (diabeticretinopathy ,DR)的疗效进行观察并总结研究。方法　选择经FFA检查确诊为增殖前期及增殖期的DR患者 2 0 0例 390眼 ,对不同部位的病变选择不同波长的激光行全视网膜光凝。结果　 390眼DR患眼行全视网膜光凝治疗后 ,有效 379眼 ,总有效率 97.18% ,其中增殖前期 190眼 ,有效 189眼 ,有效率 99.4 7% ;增殖期 2 0 0眼 ,有效 190眼 ,有效率 95 .0 0 % (P <0 .0 1)。结论　DR患者早期行全视网膜光凝治疗可有效防止病变的发展 ,增加视力。Objective To observe and summary the effect of panretinal photocoagulation in the 200 cases(390 eyes)with diabetic retinopathy. Methods Pre-proliferative and proliferative outpatients were f i nally diagnosed by fundus fluorescein angiography(FFA).A various wavelength w ere selected to treat a various locus. Results After panretinal photocoagulation,379 of 390 eyes wit h diabetic retinopathy were in effect and the total effective rate was 97.18% , 189 of 190 eyes with pre-proliferative diabetic retinopathy were in effect and the effective rate was 99.47%,190 of 200 eyes with proliferative diabetic retinop athy were in effect and the effective rate was 95.00%(P<0.01). Conclusion The early panretinal photocoagulation may effective ly prevent the development of lesion and increase the restoration of vision in t he diabetic retinopathy.

关 键 词：全视网膜光凝 糖尿病视网膜病变 

分 类 号：R779.63[医药卫生—眼科] R774.1[医药卫生—临床医学]