视网膜激光光凝联合补阳还五汤治疗视网膜浅脱离的临床研究  

Clinical study of retina laser photocoagulation combined with Buyang Huanwu decoction in the treatment of retinal shallow detachment

作　　者：唐涵锋[1] 宋晏平[1] 

机构地区：[1]福建医科大学附属宁德市医院,352100

出　　处：《中国实用医药》2014年第29期58-59,共2页China Practical Medicine

基　　金：宁德市科学技术计划项目(项目编号:20130239)

摘　　要：目的分析氩激光光凝联合补阳还五汤治疗裂孔性视网膜浅脱离的疗效。方法 58例（共58眼）裂孔性视网膜脱离患者,采取氩激光光凝后辅以补阳还五汤治疗,观察疗效。结果进行3-24个月,平均15.23个月的随访。19眼视网膜脱离范围≤1/2 PD,1次光凝治疗后痊愈;32眼视网膜脱离范围〉1/2 PD,但≤1 PD,其中19眼经3次光凝治疗后痊愈,13眼经2次光凝治疗后痊愈;7眼视网膜脱离范围〉1 PD,3眼无效,4眼经3次光凝治疗后痊愈。结论采取氩激光光凝治疗裂孔性视网膜浅脱离,安全有效,辅以补阳还五汤,有助于视网膜下液体吸收。Objective To analyze the curative effect of argon laser photocoagulation combined with Buyang Huanwu decoction in the treatment of retinal shallow detachment. Methods A total of 58 cases （58 eyes） of rhegmatogenous retinal detachment were treated by argon laser photocoagulation combined with Buyang Huanwu decoction, and the curative effects were observed. Results The follow-up was lasted from 3 to 24 months, with the average time of 15.23 months. There were 19 eyes with retinal detachment range ≤ 1/2 PD, which were cured by one-time laser photocoagulation. There were 32 eyes with 1/2 PD〈retinal detachment range ≤ 1 PD, among them, 19 eyes cured after 3 times of laser photocoagulation and 13 eyes cured after 2 times of surgery. There were 7 eyes with retinal detachment range〉1 PD, and there were 3 ineffective eyes and 4 cured eyes after 3 times of laser photocoagulation. Conclusion Argon laser photocoagulation combined with Buyang Huanwu decoction in treatment of rhegmatogenous retinal shallow detachment is safe and effective, and it can promote liquid absorption under retina.

关 键 词：视网膜激光光凝 补阳还五汤 视网膜浅脱离 临床疗效 

分 类 号：R774.12[医药卫生—眼科]