氩绿激光治疗视网膜分支静脉阻塞的临床疗效  

Clinical curative effect of argon chloride laser in treating retinal branch vein occlusion

作　　者：王淑娜 薛笑楠 吴晓琴 毛可珍 汪自文 余美珍 

机构地区：[1]中国江西省鹰潭市人民医院眼科,335000

出　　处：《国际眼科杂志》2013年第4期796-798,共3页International Eye Science

摘　　要：目的:探讨氩绿激光治疗视网膜分支静脉阻塞的临床疗效。方法:经眼底荧光血管造影(FFA)确诊为视网膜分支静脉阻塞(BRVO)患者60例60眼。患者随机分两组:A组(治疗组)使用氩绿视网膜光凝治疗30例;B例(对照组)口服活血化瘀药物(复方血栓通胶囊)治疗30例;两组患者随访时间为治疗后1,3,6,12mo,随访内容为视力、FFA检查及眼底情况,对治疗6mo后视力恢复结果和黄斑水肿消退情况进行对比。结果:A组:显效8例,有效20例,无效2例。B组:显效2例,有效14例,无效14例。A组合并黄斑囊样水肿者14例,给予氩绿视网膜光凝治疗后黄斑水肿消退12例,未消退2例;B组合并黄斑囊样水肿者13例,药物治疗后黄斑水肿消退3例,未消退10例,经卡方检验,差异有统计学意义(P<0.05)。结论:氩绿激光对视网膜分支静脉阻塞的激光治疗有显著疗效,激光治疗组治疗后6mo病情稳定,效果好。AIM ： To study the clinical curative effect argon chlorine laser treatment in branch retinal vein occlusion（BRVO） . METHODS ：The 60 BRVO patients clinically confirmed by fundus fluorescein angiography （FFA） were randomly divided into 2 groups： group A （treatment group） 30 cases underwent argon chlorine laser photocoagulation ; group B （control group）30 cases were for activating blood circulation and eliminating stasis drugs （compound thrombosis the capsule） ）. The results of visual acuity and macula edema regression in the two groups 6 months after treatment were compared. RESULTS： Group A： obviously effective in 8 cases, effective 20 cases. Group B： obviously effective in 2 cases, effective in 14 cases, invalid in 14 cases; Group A had 14 cases combined with macular edema, and after argon chlorine retinal photocoagulation, macular edema disappeared in 12 cases, not retreat in 2 cases; Group B had 13 cases combined with macular edema, and macular edema disappeared after medical treatment in 3 cases, not disappeared in 10 cases. CONCLUSION：The argon laser photocoagulation is an effective treatment for BRVO, promote the visual acuity, shorten the duration of symptoms.

关 键 词：视网膜分支静脉阻塞 氩绿视网膜光凝 疗效 

分 类 号：R779.63[医药卫生—眼科]