RetCam 3筛查早产儿视网膜病变的临床资料分析  

Analysis of clinical data of RetCam3 screening for retinopathy of prematurity

作　　者：殷小龙[1] 于春红[1] 廖瑜俊[1] 杨洋[1] 彭小维[1] 邓燕[1] Xiao-long Yin;Chun-hong Yu;Yu-jun Liao;Yang Yang;Xiao-wei Peng;Yan Deng(Department of Child Ophthalmology,the Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330006,China)

机构地区：[1]南昌大学第二附属医院儿童眼科,江西南昌330006

出　　处：《中国现代医学杂志》2018年第22期64-67,共4页China Journal of Modern Medicine

基　　金：江西省卫生与计划生育委员会科学技术研究项目(No:20131080)

摘　　要：目的应用眼科广域数字成像系统(Ret Cam 3)筛查早产儿眼底,分析筛查结果和发病特点。方法回顾性分析该院2014年2月-2016年2月采用Ret Cam 3筛查的早产儿152例304眼,对其中出现早产儿视网膜病变(ROP)的43眼进行综合分析。结果在152例(304眼)早产儿以Ret Cam 3检出各期ROP 43眼(43/304),诊断为ROPⅠ期者33眼(33/304),Ⅱ期者6眼(6/304),Ⅲ期者4眼(4/304)。本组病例中未检出ROPⅣ期和Ⅴ期。双眼发病者与单眼发病者比较,双胎发病率与单胎发病率比较,均差异有统计学意义(P<0.05),双眼发病者高于单眼发病者,双胎发病率高于单胎。男女、珍贵儿和自然儿之间ROP发病率比较,差异无统计学意义(P>0.05)。ROP自然转归率达90%(39/43)。结论要重视对早产儿视网膜病的筛查,尤其双胎儿的眼底筛查,如果出现单眼发病,一定要详细检查和追踪另眼发病情况。应用Ret Cam 3筛查早产儿视网膜病变,尽可能早发现早产儿眼部异常,尽可能早治疗,减少儿童低视力和盲。Objective To analyze the results and clinical characteristics of RetCam3 screening for retinopathy of prematurity(ROP).Methods This retrospective study included 152 cases(304 eyes)of premature infants who used RetCam 3 screening from February 2014 to February 2016.Among them 43 eyes suffered from ROP.Results In the 43 eyes(43/304)who had ROP,33 eyes were diagnosed as stage I ROP,6 eyes were stage II ROP,4 eyes were stage III ROP.There was no stage IV or V ROP.The incidence of binocular ROP was significantly higher than that of monocular ROP(P<0.05),the incidence of ROP in twins was higher than that in single babies(P<0.05).There was no significant difference in ROP incidence between boys and girls,or between test-tube babies and natural babies(P>0.05).90%of ROP achieved normal retina without treatment.Conclusions Early inspection using RetCam3 screening,early detection and early treatment are of importance in preventing blinding caused by retinopathy of prematurity.

关 键 词：RetCam3 早产儿视网膜病变 临床资料分析 

分 类 号：R774.1[医药卫生—眼科]