单纯视网膜光凝及联合玻璃体腔注射曲安奈德治疗视网膜静脉阻塞性黄斑囊样水肿的疗效比较.docVIP

精品论文 参考文献 单纯视网膜光凝及联合玻璃体腔注射曲安奈德治疗视网膜静脉阻塞性黄斑囊样水肿的疗效比较 鲁诚 魏盟 魏承丽 任静 　　(河南省新乡市第一人民医院 河南 新乡 453000) 　　【摘要】 目的：比较单纯532nm激光视网膜光凝及联合玻璃体腔注射曲安奈德治疗视网膜阻塞性黄斑囊样水肿的疗效。方法：58例58眼视网膜分支阻塞性黄斑囊样水肿随机分为两组，单纯视网膜光凝组29例29眼行视网膜光凝，联合组29例29眼行视网膜光凝后再行玻璃体腔注射曲安奈德4mg，随访1～3个月，分析对比治疗前、治疗后最佳矫正视力和光学相干断层扫描（OCT）检测黄斑中心凹视网膜厚度的变化情况。结果联合组患眼视力较单纯视网膜光凝组明显上升（Plt;0.05），OCT显示黄斑囊样水肿减轻或消退。在治疗后一周、一个月、三个月联合组黄斑囊样水肿消退程度高于单纯激光组。结论：联合玻璃体腔注射曲安奈德在治疗视网膜静脉阻塞性黄斑囊样水肿为有效方法，且效果优于单纯视网膜光凝光凝治疗。 　　【关键词】黄斑水肿；视网膜光凝；玻璃体腔注射；曲安奈德 　　【中图分类号】R453 【文献标识码】A 【文章编号】2095-1752（2015）20-0037-02 　　Comparative effectiveness of treatment retinal vein obstructive macular edema sac sample using pure retinal photocoagulation and joint glass body cavity injection of triamcinolone acetonide 　　Lu Cheng, Wei Meng, Wei Chengli, Ren Jing. The First Peoples Hospital of Xinxiang, Hersquo;nan Province, Xinxiang 453000, China 　　【Abtract】 Objective Compare the effectiveness of treating retinal vein obstructive macular capsule edema by using pure 532nm laser retinal photocoagulation and joint intravitreal injection of triamcinolone. Methods There are 58 cases of 58 eyes retina branch obstructive macular capsule edema, which are randomly divided into two groups, of which 29 cases of pure retinal photocoagulation group 29 cases are retinally photocoagulated, and of which 29 cases of joint group are retinally photocoagulated first and then injected triamcinolone 4mg intravitreally. Results The joint group of eye vision increased more significantly than pure retinal photocoagulation group (P lt; 0.05). Conclusion The joint intravitreal triamcinolone injection is an effective method to treat retinal vein obstructive macular capsule edema, and is better than that of the pure retinal photocoagulation treatment. 　　【Key Words】Macula; Retinal photocoagulation; Intravitreal injection; Triamcinolone 　　视网膜静脉阻塞（retinal vein occlusion）是比较常见的眼底血管病。分为分支静脉阻塞和中央静脉阻塞。本病的特点是静脉扩张迂曲，沿静脉分布区域的视网膜有出血、水肿和渗出。黄斑囊样水肿是视网膜静脉阻塞的最常见的并发症，也是本病视力降低的主要原因之一[