糖尿病视网膜病变眼轴轴长与中心视网膜厚度的相关性研究

发布时间：2019-01-04 12:31

【摘要】：目的观察糖尿病视网膜病变眼轴轴长与中心视网膜厚度的相关性。方法收集2012年1月至2013年5月入住我院眼科及内分泌科的糖尿病患者,经眼底荧光血管造影(fundus fluorescence angiography,FFA)确诊为糖尿病非增殖期的患者,采用眼科Axeg超测量眼轴长度,根据眼轴长度分为3组:22~24 mm组(正常组)60例(60眼)、24~26 mm组(长眼轴组)65例(65眼)、26 mm以上组(超长眼轴组)55例(55眼),对所有患者采用光学相干断层扫描(optical coherence tomography,OCT)进行中心视网膜厚度测量,对3组患者测量所得数据分析其差异性。结果正常组中心视网膜厚度为(293.51±23.73)μm,长眼轴组中心视网膜厚度为(292.76±31.76)μm,超长眼轴组中心视网膜厚度为(277.89±37.82)μm。正常组与长眼轴组比较,中心视网膜厚度差异无统计学意义(t=0.191,P=0.849);正常组与超长眼轴组比较,超长眼轴组比正常组中心视网膜厚度显著变薄(t=-3.627,P=0.000);长眼轴组与超长眼轴组比较,超长眼轴组比长眼轴组中心视网膜厚度显著变薄(t=-3.644,P=0.000)。结论眼轴轴长与糖尿病视网膜病变中心视网膜厚度有明显的相关性,超长眼轴患者的中心视网膜厚度显著变薄。
[Abstract]:Objective to investigate the correlation between axial length and central retinal thickness in diabetic retinopathy. Methods from January 2012 to May 2013, diabetic patients who were admitted to ophthalmology and endocrine department in our hospital and diagnosed by fundus fluorescein angiography (fundus fluorescence angiography,FFA) were selected. The length of ophthalmic axis was measured by ophthalmic Axeg. According to the axial length of the eyes, they were divided into 3 groups: 60 cases (60 eyes) in 22 mm group (normal group), 65 cases (65 eyes) in 2426 mm group (long eye axis group) and 55 cases (55 eyes) in more than 26 mm group (super long axis group). The central retinal thickness was measured by optical coherence tomography (optical coherence tomography,OCT) in all patients. Results the central retinal thickness was (293.51 卤23.73) 渭 m in normal group, (292.76 卤31.76) 渭 m in long axis group and (277.89 卤37.82) 渭 m in super long axis group. There was no significant difference in the central retinal thickness between the normal group and the long axis group (t = 0.191, P < 0. 849). The thickness of the central retina in the super long eye axis group was significantly thinner than that in the normal group (t = 3.627, P < 0. 000). The thickness of the central retina in the long axis group was significantly thinner than that in the long eye axis group (t = -3.644, P < 0. 000). Conclusion there is a significant correlation between the axial length and the central retinal thickness of diabetic retinopathy.
【作者单位】：甘肃省第二人民医院眼科;
【分类号】：R587.2;R774.1

【参考文献】