糖尿病性视网膜病变的激光治疗  

Laser treatment of Diabetic Retinopathy

作　　者：周琼[1] 曾莉[1] 刘永琰[1] 赖跃宁[1] 李恩辉[1] 王魁仲[1] 

机构地区：[1]江西医学院一附院眼科,南昌330006

出　　处：《江西医药》2002年第4期241-242,共2页Jiangxi Medical Journal

摘　　要：目的 探讨影响糖尿病性视网膜病变（DR）激光治疗效果的相关因素。方法 对Ⅱ型糖尿病性视网膜病变68眼进行分期后,58眼单纯性DR选择局限性光凝术,10眼增殖性DR选择全视网激光凝术,对合并弥漫性黄斑水肿者联合黄斑区格栅光凝术。结果 激光治疗控制进一步视力损害总有效率82.3％,其中单纯性DR占77.9％;眼底病变减轻或消失为 58.9％,主要为单纯性DR者。10眼增殖性DR有7眼激光后未能控制视力的继续损害。结论 激光治疗DR的疗效与DR的病变程度和部位及屈光间质透亮度有关,单纯性DR光凝疗效好于增殖性DR,提示DR的治疗应在早期阶段实施,以力图改善视功能,达到控制DR患者视功能进一步损害的治疗目的。Objective To investigate the factors which influence the effect of diabetic retinopathy (DR)'s laser photocoagulation. Methods 68 eyes of DR in type II diabetes were treated by laser photocoagulation.focal photocoagulation was undergone in 58 eyes with background DR.panretinal photocoagulation was undergone in 10 eyes with proliferative DR.Grid photocoagulation was also undergone for diffuse macular edema in some cases. Results The vision of 82.3% cases was stabilized after photocoagulation,but 77.9% of them with background DR. Concluston The effect of laser treatment for DR depends on degree of DR,condi-tion of refractive medias and lesion location.Thera-peutic effect in background DR is better than in proliferative DR.Those indicated that laser photocoagulation should be carried out in early stage of DR,which can stabilize the vision,eveh improve visual acuity.

关 键 词：Ⅱ型糖尿病 微血管并发症 临床观察 糖尿病性视网膜病变 激光治疗 

分 类 号：R587.2[医药卫生—内分泌] R774.1[医药卫生—内科学]