玻璃体腔注射曲安奈德与激光光凝治疗黄斑水肿的不同疗效分析  

Different clinical effect of laser photocoagulation treatment or intravitreal injection of triamcinolone acetonide on macular edema

作　　者：孙莉 杨蕾 孙建玲 

机构地区：[1]甘肃省第二人民医院眼科,兰州730000

出　　处：《临床眼科杂志》2008年第4期327-328,共2页Journal of Clinical Ophthalmology

摘　　要：目的比较玻璃体腔注射曲安奈德(TA)与激光光凝治疗黄斑水肿的疗效差别。方法57例(57只眼)黄斑水肿患者,随机对26例(26只眼)行玻璃体腔注射TA治疗,31例(31只眼)行激光光凝治疗,治疗后3～12个月通过荧光素眼底血管造影(FFA)、眼底、视力等检查来观察比较两种疗法的疗效。结果激光光凝治疗组有效率为70.97%;TA玻璃体腔注射治疗组有效率为84.62%。结论玻璃体腔注射TA与激光光凝治疗黄斑水肿的疗效差异无统计学意义,但玻璃体腔注射TA的治疗效果明显优于激光光凝疗法。Objective To explore different effect of laser photocoagulation treatment or intravitreal injection of triamcinolone acetonide （TA） on macular edema. Methods TA was injected into intravitreal randomly in 26 cases of 57 patients with macular edema and 31 cases were treated randomly using laser photocoagulation. Visual acuity, fundus and fundus fluorescein angiography were taken and analyzed within different follow-up time 3 to 12 months after treatment. Results The effective rate of laser photocoagulation therapy on macular edema was 70.9% and the effective rate 84.6% occurred in intravitreal injection of TA. Conclusion It had better chnical effect in intravitreal injection of TA titan laser photocoagulation for macular edema, despite there being no significant difference between two therapy.

关 键 词：曲安奈德 激光光凝 黄斑水肿 

分 类 号：R774.5[医药卫生—眼科] R776.05[医药卫生—临床医学]