老年糖尿病视网膜病变患者的眼底荧光血管造影诊断结果分析  

Analysis of Diagnostic Results of Fluorescence Fundus Angiography of Senile Patients with Diabetic Retinopathy

作　　者：刘建慧[1] 张素平[1] 李金晖[1] 徐建森[1] 

机构地区：[1]山东省昌邑市人民医院眼科中心,山东昌邑261300

出　　处：《系统医学》2017年第4期34-36,共3页Systems Medicine

摘　　要：目的分析老年糖尿病视网膜病变患者的眼底荧光血管造影诊断结果。方法随机选择2015年1月—2016年1月在该院接受治疗的老年糖尿病视网膜病变患者100例共200眼参与研究,对所有患者实施眼底荧光血管造影诊断,分析诊断结果。结果糖尿病视网膜病变分期Ⅰ期占7.00%,Ⅱ期占13.00%,Ⅲ期占18.00%,Ⅳ期占60.00%,Ⅴ期占2.00%。200眼中没有明显黄斑水肿有68眼(34.00%),存在明显黄斑水肿的有132眼(66.00%);其中轻度糖尿病性视网膜病变合并黄斑水肿有25眼(18.94%),中度糖尿病性视网膜病变合并黄斑水肿有87眼(65.91%),重度糖尿病性视网膜病变合并黄斑水肿有20眼(15.15%)。结论对老年糖尿病视网膜病变患者实施眼底荧光血管造影诊断能够提高诊断准确率,可以对糖尿病视网膜病变进行准确分期,对临床治疗方案的确定提供科学指导。Objective To analyze the diagnostic results of fluorescence fundus angiography of senile patients with diabetic retinopathy. Methods 100 cases of senile patients with diabetic retinopathy （200 eyes） treated in our hospital from January 2015 to January 2016 were randomly selected and all patients were given the fluorescence fundus angiography diagnosis, and the diagnostic results were analyzed. Results The patients with diabetic retinopathy in the Ⅰ stage, Ⅱ stage, Ⅲ stage, Ⅳ stage and Ⅴ stage respectively accounted for 7.00%, 13.00%, 18.00%, 60.00% and 2.00%, in the 200 eyes, there were 68 eyes without obvious macular oedema （34.00%）, 132 eyes with obvious macular oedema （66.00%）, 25 eyes with mild diabetic retinopathy and macular 6edema （18.94%）, 87 eyes with moderate diabetic retinopathy and macular oedema （65.91%）and 20 eyes with severe diabetic retinopathy and macular oedema （15.15%）. Conclusion The implementation of fluorescence fundus angiography of senile patients with diabetic retinopathy can improve the diagnosis accuracy rate and conduct the accurate staging of diabetic retinopathy, which can provide scientific guidance for the determination of clinical treatment plan.

关 键 词：老年糖尿病视网膜病变 眼底荧光血管造影 诊断 

分 类 号：R770.4[医药卫生—眼科]