糖尿病视网膜病变眼底荧光血管造影分析  

Analysis of fluorescence fundus angiography to diabetic retinopathy

作　　者：赵庆新[1] 王燕燕[1] 冯雨[1] 郎玉静[1] 

机构地区：[1]河南省新乡市中心医院眼科,453000

出　　处：《中国实用医药》2010年第16期3-4,共2页China Practical Medicine

摘　　要：目的探讨糖尿病性视网膜病变(DR)各期的毛细血管无灌注区(NP区)易发部位及黄斑水肿发生情况。方法通过对116例(209眼)DR患者进行眼底荧光血管造影(FFA)检查,发现NP区的分布特点及黄斑水肿特点。结果 116例(209眼)中有126眼存在NP区,发生率为60.29%,且NP区易发于中周部、其次为周边部、较少发生于后极部,发生率分别为82.54%、41.27%、16.67%。116例(209眼)中合并黄斑水肿79眼,发生率为37.80%,其中局限型占20.25%、弥漫型占51.90%、囊样型占20.25%、缺血型占7.59%。结论视网膜中周部为NP区易发部位,黄斑水肿与病变程度有一定关系。Objective To study the susceptible position of capillary non-perfusion area（NP area）of diabetic retinopathy（DR）and the occurrence of macular edema.Methods To observe the 116 cases（209 eyes）DR with fundus fluorescein angiography（FFA）,discovered the character of distribution of NP area and macular edema.Results In all cases,126 eyes exist NP area,incidence rate of 60.29%,and the most susceptible position of NP areas near the periphery with the incidence of 82.54%,followed by peripheral and less posterior pole of 41.27 % and 16.67%.79 eyes with macular edema with the incidence rate 37.80%,which accounted for 20.25% of localized,51.90% of diffuse type,20.25% of cyst-like type,7.59% of ischemic type.Conclusion The susceptible position of NP areas near the periphery,macular edema is certain correlated with the severity of DR.

关 键 词：眼底荧光血管造影 糖尿病性视网膜病变 毛细血管无灌注区 黄斑水肿 

分 类 号：R587.1[医药卫生—内分泌] R774.1[医药卫生—内科学]