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50歲以上中心性漿液性脈絡(luò)膜視網(wǎng)膜病變患者的脈絡(luò)膜厚度分析

發(fā)布時(shí)間:2019-05-17 13:55
【摘要】:目的觀察50歲以上中心性漿液性脈絡(luò)膜視網(wǎng)膜病變(central serous chorioretinopathy,CSC)患者的脈絡(luò)膜厚度水平。方法選擇2016年1月至2017年1月在我院確診為CSC的50歲以上患者25例納入研究。其中單眼20例,雙眼5例,分為CSC患眼組(30眼),CSC對(duì)側(cè)健眼組(19眼)。選擇同期年齡匹配的健康人26例(26眼)作為正常對(duì)照組。使用光學(xué)相干斷層掃描加強(qiáng)深度成像技術(shù)進(jìn)行脈絡(luò)膜厚度的測(cè)量,選取中心凹下,距離中心凹鼻側(cè)500μm、1500μm,顳側(cè)500μm、1500μm共5個(gè)位點(diǎn)。結(jié)果 CSC患者年齡為(60.08±7.68)歲。CSC患眼組、CSC對(duì)側(cè)健眼組中心凹下脈絡(luò)膜厚度(subfoveal choroidal thickness,SFCT)分別為(414.17±85.88)μm、(352.89±97.22)μm,較正常對(duì)照組的(280.69±90.99)明顯增厚(均為P0.05)。單眼CSC患者患眼SFCT為(414.17±85.88)μm,較CSC對(duì)側(cè)健眼的(352.89±97.22)μm明顯增厚(P=0.008)。其余測(cè)量位點(diǎn)組間差異結(jié)果相似。結(jié)論 50歲以上CSC患者脈絡(luò)膜較年齡匹配正常人明顯增厚,患眼SFCT多在400μm以上,這一特征有助于對(duì)老齡合并黃斑神經(jīng)上皮脫離患者的鑒別診斷。
[Abstract]:Objective to observe the level of choroid thickness in patients over 50 years old with central serous chorioretinopathy (central serous chorioretinopathy,CSC). Methods from January 2016 to January 2017, 25 patients over 50 years old with CSC diagnosed in our hospital were enrolled in the study. Among them, 20 cases were monocular and 5 cases were binocular. They were divided into CSC eye group (30 eyes) and), CSC contralateral healthy eye group (19 eyes). 26 healthy people (26 eyes) with age matching in the same period were selected as the normal control group. The choroid thickness was measured by optical coherence tomography enhanced depth imaging. Five sites below the central fovea, 500 渭 m, 1500 渭 m from the nose side, 500 渭 m and 1500 渭 m from the temporal side were selected. Results the age of patients with CSC was (60.008 鹵7.68) years old. The thickness of choroid under fovea in CSC group and contralateral group were (414.17 鹵85.88) 渭 m and (352.89 鹵97. 22) 渭 m, respectively. Compared with the normal control group (280.69 鹵90. 99), it was significantly thicker than that of the normal control group (P 0.05). The SFCT of monocular CSC patients was (414.17 鹵85.88) 渭 m, which was significantly thicker than that of the contralateral healthy eyes of CSC (352.89 鹵9722) 渭 m (P 鈮,

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