经瞳孔温热疗法（TTT）治疗年龄相关性黄斑变性（渗出型）的临床研究

发布时间：2018-02-20 18:30

本文关键词： 经瞳孔温热疗法老年性黄斑变性渗出型　出处：《吉林大学》2011年硕士论文　论文类型：学位论文

【摘要】：摘要:老年性黄斑变性是导致50岁以上老年人视力下降或致盲的主要原因之一,而经瞳孔温热疗法是最近几年来治疗眼病的一种新的技术。本文对TTT治疗眼病的作用原理、治疗机制、并发症、适应症以及它的未来发展趋势一系列问题做一全面综述,并以渗出型老年性黄斑变性为例,根据临床治疗,指出TTT疗法在老年性黄斑病变中的应用及其效果,探讨TTT疗法在治疗渗出型老年性黄斑病变中的价值。通过临床治疗发现,TTT在渗出型老年性黄斑变性治疗中,对于控制和提高患者视力、控制渗漏、吸收黄斑水肿具有很好的效果。本文以临床资料为依据,在治疗过程中发现:(1)TTT可以对不同类型、不同病因的脉络膜新生血管进行治疗,有助于视力的提高,使致盲率大大降低。(2)在治疗CNV中使用TTT疗法,并发症少且对视力影响小。(3)TTT治疗安全性较好,对神经上皮损害较轻,适合于中心凹下的CNV治疗。(4)TTT参数难以固定,应根据实际临床数据来进行调节。相比较其它治疗方法,经瞳孔温热疗法(TTT)在治疗渗出型老年性黄斑变性中具有费用低、效果好的优点,可以推广。
[Abstract]:Abstract: age-related macular degeneration is one of the main causes of vision loss or blindness in the elderly over 50 years old. Transpupillary thermotherapy is a new technique for the treatment of ophthalmopathy in recent years. The treatment mechanism, complications, indications and its future development trend are reviewed in a comprehensive way, and the exudative age-related macular degeneration is taken as an example, according to the clinical treatment. To point out the application and effect of TTT therapy in senile macular disease, and to explore the value of TTT therapy in the treatment of exudative age-related macular disease, it was found that TTT was used in the treatment of exudative age-related macular degeneration. It has good effect on controlling and improving visual acuity, controlling leakage and absorbing macular edema. On the basis of clinical data, it was found in the course of treatment that TTT could be used to treat choroidal neovascularization with different types and etiology, which was helpful to the improvement of visual acuity and greatly reduced the rate of blindness in the treatment of CNV. The complications are less and the effect on visual acuity is small, the safety of TTT is better, the damage to neuroepithelium is less, the parameters of TTT suitable for CNV treatment under fovea are difficult to be fixed, so it should be adjusted according to the actual clinical data. Compared with other treatment methods, it is difficult to fix the parameters of TTT, which is suitable for the treatment of subcentral fovea. Transpupillary thermotherapy (TTT) has the advantages of low cost and good effect in the treatment of exudative age-related macular degeneration and can be popularized.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R774.5

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