中心性浆液性脉络膜视网膜病变患者脉络膜毛细血管扩张和中心凹下脉络膜厚度关系的研究

发布时间：2018-03-06 08:38

本文选题：中心性浆液性脉络膜视网膜病变　切入点：脉络膜毛细血管扩张　出处：《眼科新进展》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨中心性浆液性脉络膜视网膜病变患者脉络膜毛细血管扩张和黄斑中心凹下脉络膜厚度的关系。方法选取2015年2月至2016年4月我院收治的中心性浆液性脉络膜视网膜病变患者84例(84眼),依据荧光素眼底血管造影检查结果分为3组:轻度组(注射后9~10 min渗漏)26例,中度组(注射后5~8 min渗漏)37例,重度组(注射后5 min内渗漏)21例,利用OCTA技术确定脉络膜毛细血管扩张程度,利用EDI-OCT测量3组患者以及脉络膜毛细血管不同扩张程度下患者的黄斑中心凹下脉络膜厚度,并进行相关性分析。结果轻度、中度、重度患者的脉络膜毛细血管重度扩张比例依次升高(7.69%、13.52%、23.81%),黄斑中心凹下脉络膜厚度依次增加,差异具有统计学意义(P0.05)。脉络膜毛细血管轻度、中度、重度扩张患者的黄斑中心凹下脉络膜厚度分别为(306.59±74.18)μm、(367.21±85.04)μm、(416.27±104.56)μm,差异具有统计学意义(P0.05)。中心性浆液性脉络膜视网膜病变患者患侧脉络膜毛细血管扩张程度与黄斑中心凹下脉络膜厚度明显正相关(r=0.812,P=0.037)。结论随着病情的加重,中心性浆液性脉络膜视网膜病变患者脉络膜毛细血管扩张程度和黄斑中心凹下脉络膜厚度明显增加,且二者存在明显的正相关关系。
[Abstract]:Objective to investigate the relationship between choroidal thickness in central serous chorioretinopathy choroidal capillary dilatation and subfoveal. 84 patients with central serous chorioretinopathy methods from February 2015 to April 2016 in our hospital patients (84 eyes), according to the results of fundus fluorescein angiography were divided into 3 groups: mild group (9~10 after injection of Min leakage) in 26 cases, moderate group (5~8 after injection of Min leakage) in 37 cases, severe group (leakage within 5 min after injection) in 21 cases, determine the choriocapillary dilatation using OCTA technology, using EDI-OCT to measure the 3 groups of patients and choriocapillary patients with foveal choroidal thickness the different degree of expansion, and correlation analysis. The results of mild, moderate, severe choriocapillary patients with severe dilatation ratio increased (7.69%, 13.52%, 23.81%), subfoveal The choroidal thickness increases, the difference was statistically significant (P0.05). Choriocapillary mild, moderate, severe dilatation of choroidal thickness in patients with subfoveal respectively (306.59 + 74.18) m, (367.21 + 85.04) m, (416.27 + 104.56) m, the difference was statistically significant (P0.05). Central serous chorioretinopathy patients have obvious positive correlation of choroidal thickness in lateral choroidal capillary dilation and subfoveal (r=0.812, P=0.037). Conclusion with the aggravation of the disease, central serous retinopathy in patients with choroidal thickness as choriocapillary dilatation and subfoveal increased significantly, there was a positive correlation between the two.

【作者单位】：河南省安阳市眼科医院;
【分类号】：R774.1

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