氪黄激光治疗糖尿病黄斑水肿临床研究  

Krypton yellow laser in treating diabetic macular edema

作　　者：武淑玲[1] 哈玲芳[1] 王金星[1] 

机构地区：[1]中国宁夏医学院附属医院眼科,750004

出　　处：《国际眼科杂志》2004年第6期1130-1132,共3页International Eye Science

摘　　要：目的:研究氪黄激光光凝治疗糖尿病黄斑水肿的疗效。方法:对120例(150眼)糖尿病黄斑水肿患者进行氪黄激光光凝治疗。根据治疗时间距黄斑水肿发病时间,分为≤6mo及>6mo2组。同时选择同期内采用药物治疗的糖尿病黄斑水肿患者31例(42眼)作为对照组,随访12mo,观察光凝后不同时期视力及黄斑水肿的变化,进行统计学分析。结果:光凝组治疗后视力提高者89眼(59.3%),不变者58眼(38.7%),下降者3眼(2.0%),对照组治疗后视力提高者1眼(2.4%),不变者31眼(73.8%),下降者10眼(23.8%),两组间相比,均有非常显著性差异。光凝组中,≤6mo,光凝后黄斑水肿完全消退者78眼(52.0%),部分消退者66眼(44.0%),不变者6眼(4.0%),>6mo黄斑水肿完全消退者12眼(24.5%)部分消退者23眼(占50.0%),不变者14眼(28.6%)。结论:氪黄激光治疗糖尿病黄斑水肿疗效显著,可稳定和提高视力,其疗效与病程有关,早期治疗效果最佳。AIM: To evaluate the curative effect of krypton yellow laser in treatment of diabetic macular edema. · METHODS: A total of 120 cases (150 eyes) with diabetic macular edema underwen t photocoagulation with krypton yellow laser. They were divided into two groups according to the period from treatment to edema outbreak (≤6mo and >6mo respect ively). Another 31 cases (42 eyes) with diabetic macular edema that were treated with medicine within the same period were chosen as control group. In the follo w-up of 12mo, visual acuities and changes of edema at different time after photo coagulation were recoded for statistical analysis. · RESULTS: In Photocoagulation Group, visual acuities increased in 89 eyes (59. 3%), remained unchanged in 58 eyes (38.7%) and decreased in 3 eyes (2.0%). In Co ntrol Group, visual acuities increased in 1 eye (2.4%), remained unchanged in 31 eyes (73.8%) and decreased in 10 eyes (23.8%). There was significant difference between the two groups. In the Photocoagulation Group, for the members in the s ubgroup of ≤6mo, macular edema faded away completely in 78 eyes (52.0%), disapp eared partially in 66 eyes (44.0%) and remained unchanged in 6 eyes (4.0%); For those in the subgroup of >6mo, macular edema faded away completely in 12 eyes (2 4.5%), disappeared partially in 23 eyes (50.0%) and remained unchanged in 14 eye s (28.6%). · CONCLUSION: Krypton yellow laser is effective in treating diabetic macular ed ema which can stabilize and improve visual acuity. Its therapeutic effect is rel ated to course of disease, and an early treatment would result in the best effec t. ·

关 键 词：氪黄激光治疗 糖尿病黄斑水肿 临床研究 疗效观察 

分 类 号：R774.5[医药卫生—眼科]