光学相干断层扫描对氩激光治疗糖尿病性黄斑水肿的疗效观察.pdfVIP

· 18· 山西医药杂志2008年1月第37卷第1期 shanxiMed J，January2008，Vo1．37，No．1 光学相干断层扫描对氩激光治疗糖尿病性 黄斑水肿的疗效观察 山西医科大学第一医院(030001) 李雁杰 成霄黎 【摘 要】 目的 应用光学相干断层扫描观察氩激光治疗糖尿病性黄斑水肿的临床疗效。方法 对糖尿病 性黄斑水肿患者行氩激光光凝术。在光凝前、光凝后3个月分别进行扫描获取光学相干断层扫描图像，记录黄斑 中心凹视网膜厚度，作统计学分析。结果 平均随访(3．0±0．6)个月。光凝前及光凝后3个月黄斑中心凹区视 网膜厚度平均值分别为(397±102)~m和(204±90)~m，差异有统计学意义。结论 光学相干断层扫描检测能较 准确定量测算黄斑区视网膜厚度，可对比观察氩激光光凝前后视网膜厚度变化，进而判断氩激光光凝的疗效。 【关键词】视网膜疾病；激光凝固术；氩激光；光学相干断层扫描；糖尿病性黄斑水肿 Ol~rvation ofoptical coherencetomography Oil argon laser photocoagulation in the treatment ofdiabetic macula edema LI Yan-jie，CHENG Xiao-li． First Hospital D厂Shanxi Medical University，Taiyuan 030001，China 【Abstract】 Objective To observe the clinical effect of argon laser phot(1o。agulation therapy on diabetic macula edema with optical coherencetomography．Methods The patients with diabetic macula edema were treated by argon laser photocoagulation．Recording the retinal thickness of central fovea of macula by optical coherencetomography in pre- photc~ tgulation and post—photocoagulation after 3 months．Then these data were analyzed statistically．Results The follow—up mean was 2．98±0．56 months．The retinal thickness of central fovea of maeil[a in pre-photocoagulation and 3一 month post—photocoagulation and were 396．7±102 n and 203．5±90 tan respectively． (normal value 146．34 tan+ 8．58 tan)Comparing the retinal thickness of macular fovea in pre~photocoagulation and post—photocoagulation after 3 months，the difference was significant．Conclusion Argon laser photoeoagulation is an effective treatment for diabetic macula edem a．Retinal thickness can be measured exactly and the change of retinal thickness between pre-photocoagu— lation and post—photocoagulation Can be observed with optical coherencetomography，and then we can evaluate curative effec