玻璃体切割术术前Bevacizumba玻璃体腔注射联合视网膜内界膜剥离治疗糖尿病黄斑水肿的疗效观察
发布时间：2018-10-14 21:07
【摘要】： 目的 探讨术前Bevacizumba玻璃体腔内注射联合术中行视网膜内界膜(internal limiting membrane, ILM)剥离治疗糖尿病视网膜病变的疗效观察。 方法 对30例(30只眼)增殖期糖尿病视网膜病变患者随机分成两组,A组：玻璃体切割加吲哚菁绿染色(ICG)染色ILM剥离16只眼；B组：术前一周行Bevacizumba玻璃体腔内注射,玻璃体切割加吲哚菁绿染色(ICG)染色ILM剥离14只眼。所有患者术中行视网膜激光光凝及10%C3F8惰气填充,术后保持面朝下体位7-8天。患者定期随访3-12个月。 结果 A组16只眼中视力提高2行或2行以上11只眼(68.8%),黄斑平均厚度314μm。B组14只眼中视力提高2行或2行以上14只眼(100%),黄斑平均厚度292μm。B组手术后视力提高明显优于A组,B组患者手术后黄斑区视网膜厚度明显低于A组。经统计学比较两者具有明显的统计学差异(P0.01)。 结论 玻璃体切割术联合ILM剥离术是治疗糖尿病视网膜病变的有效方法,术前Bevacizumba注射联合术中ILM剥离更更明显提高手术的疗效。
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【学位授予单位】：中国医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R774.5
本文编号：2271647
[Abstract]:%E7%9B%AE%E7%9A%84%0D%0A%0D%0A%0D%0A%09%E6%8E%A2%E8%AE%A8%E6%9C%AF%E5%89%8DBevacizumba%E7%8E%BB%E7%92%83%E4%BD%93%E8%85%94%E5%86%85%E6%B3%A8%E5%B0%84%E8%81%94%E5%90%88%E6%9C%AF%E4%B8%AD%E8%A1%8C%E8%A7%86%E7%BD%91%E8%86%9C%E5%86%85%E7%95%8C%E8%86%9C%28internal%20limiting%20membrane%2C%20ILM%29%E5%89%A5%E7%A6%BB%E6%B2%BB%E7%96%97%E7%B3%96%E5%B0%BF%E7%97%85%E8%A7%86%E7%BD%91%E8%86%9C%E7%97%85%E5%8F%98%E7%9A%84%E7%96%97%E6%95%88%E8%A7%82%E5%AF%9F.%0D%0A%0D%0A%0D%0A%09%E6%96%B9%E6%B3%95%0D%0A%0D%0A%0D%0A%09%E5%AF%B930%E4%BE%8B%2830%E5%8F%AA%E7%9C%BC%29%E5%A2%9E%E6%AE%96%E6%9C%9F%E7%B3%96%E5%B0%BF%E7%97%85%E8%A7%86%E7%BD%91%E8%86%9C%E7%97%85%E5%8F%98%E6%82%A3%E8%80%85%E9%9A%8F%E6%9C%BA%E5%88%86%E6%88%90%E4%B8%A4%E7%BB%84%2CA%E7%BB%84%EF%BC%9A%E7%8E%BB%E7%92%83%E4%BD%93%E5%88%87%E5%89%B2%E5%8A%A0%E5%90%B2%E5%93%9A%E8%8F%81%E7%BB%BF%E6%9F%93%E8%89%B2%28ICG%29%E6%9F%93%E8%89%B2ILM%E5%89%A5%E7%A6%BB16%E5%8F%AA%E7%9C%BC%EF%BC%9BB%E7%BB%84%EF%BC%9A%E6%9C%AF%E5%89%8D%E4%B8%80%E5%91%A8%E8%A1%8CBevacizumba%E7%8E%BB%E7%92%83%E4%BD%93%E8%85%94%E5%86%85%E6%B3%A8%E5%B0%84%2C%E7%8E%BB%E7%92%83%E4%BD%93%E5%88%87%E5%89%B2%E5%8A%A0%E5%90%B2%E5%93%9A%E8%8F%81%E7%BB%BF%E6%9F%93%E8%89%B2%28ICG%29%E6%9F%93%E8%89%B2ILM%E5%89%A5%E7%A6%BB14%E5%8F%AA%E7%9C%BC.%E6%89%80%E6%9C%89%E6%82%A3%E8%80%85%E6%9C%AF%E4%B8%AD%E8%A1%8C%E8%A7%86%E7%BD%91%E8%86%9C%E6%BF%80%E5%85%89%E5%87%9D%E5%8F%8A10%C3F8%E6%83%B0%E6%B0%94%E5%A1%AB%E5%85%85%2C%E6%9C%AF%E5%90%8E%E4%BF%9D%E6%8C%81%E9%9D%A2%E6%9C%9D%E4%B8%8B%E4%BD%93%E4%BD%8D7-8%E5%A4%A9.%E6%82%A3%E8%80%85%E5%AE%9A%E6%9C%9F%E9%9A%8F%E8%AE%BF3-12%E4%B8%AA%E6%9C%88.%0D%0A%0D%0A%0D%0A%09%E7%BB%93%E6%9E%9C%0D%0A%0D%0A%0D%0A%09A%E7%BB%8416%E5%8F%AA%E7%9C%BC%E4%B8%AD%E8%A7%86%E5%8A%9B%E6%8F%90%E9%AB%982%E8%A1%8C%E6%88%962%E8%A1%8C%E4%BB%A5%E4%B8%8A11%E5%8F%AA%E7%9C%BC%2868.8%25%29%2C%E9%BB%84%E6%96%91%E5%B9%B3%E5%9D%87%E5%8E%9A%E5%BA%A6314%CE%BCm.B%E7%BB%8414%E5%8F%AA%E7%9C%BC%E4%B8%AD%E8%A7%86%E5%8A%9B%E6%8F%90%E9%AB%982%E8%A1%8C%E6%88%962%E8%A1%8C%E4%BB%A5%E4%B8%8A14%E5%8F%AA%E7%9C%BC%28100%25%29%2C%E9%BB%84%E6%96%91%E5%B9%B3%E5%9D%87%E5%8E%9A%E5%BA%A6292%CE%BCm.B%E7%BB%84%E6%89%8B%E6%9C%AF%E5%90%8E%E8%A7%86%E5%8A%9B%E6%8F%90%E9%AB%98%E6%98%8E%E6%98%BE%E4%BC%98%E4%BA%8EA%E7%BB%84%2CB%E7%BB%84%E6%82%A3%E8%80%85%E6%89%8B%E6%9C%AF%E5%90%8E%E9%BB%84%E6%96%91%E5%8C%BA%E8%A7%86%E7%BD%91%E8%86%9C%E5%8E%9A%E5%BA%A6%E6%98%8E%E6%98%BE%E4%BD%8E%E4%BA%8EA%E7%BB%84.%E7%BB%8F%E7%BB%9F%E8%AE%A1%E5%AD%A6%E6%AF%94%E8%BE%83%E4%B8%A4%E8%80%85%E5%85%B7%E6%9C%89%E6%98%8E%E6%98%BE%E7%9A%84%E7%BB%9F%E8%AE%A1%E5%AD%A6%E5%B7%AE%E5%BC%82%28P0.01%29.%0D%0A%0D%0A%0D%0A%09%E7%BB%93%E8%AE%BA%0D%0A%0D%0A%0D%0A%09%E7%8E%BB%E7%92%83%E4%BD%93%E5%88%87%E5%89%B2%E6%9C%AF%E8%81%94%E5%90%88ILM%E5%89%A5%E7%A6%BB%E6%9C%AF%E6%98%AF%E6%B2%BB%E7%96%97%E7%B3%96%E5%B0%BF%E7%97%85%E8%A7%86%E7%BD%91%E8%86%9C%E7%97%85%E5%8F%98%E7%9A%84%E6%9C%89%E6%95%88%E6%96%B9%E6%B3%95%2C%E6%9C%AF%E5%89%8DBevacizumba%E6%B3%A8%E5%B0%84%E8%81%94%E5%90%88%E6%9C%AF%E4%B8%ADILM%E5%89%A5%E7%A6%BB%E6%9B%B4%E6%98%8E%E6%98%BE%E6%8F%90%E9%AB%98%E6%89%8B%E6%9C%AF%E7%9A%84%E7%96%97%E6%95%88.
【学位授予单位】：中国医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R774.5
【参考文献】
相关期刊论文 前1条
1 刘哲丽,孙鹏;视网膜内界膜剥离治疗糖尿病黄斑水肿的疗效观察[J];中华眼底病杂志;2005年03期
，本文编号：2271647
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