本文關(guān)鍵詞： 脈絡(luò)膜新生血管 年齡相關(guān)性黃斑變性 中心性滲出性脈絡(luò)膜視網(wǎng)膜病變 病理性近視 熒光素眼底血管造影　出處：《北京協(xié)和醫(yī)學(xué)院》2010年碩士論文　論文類型：學(xué)位論文

【摘要】：目的 探討脈絡(luò)膜新生血管(choroidal neovascularization,CNV)在不同眼底疾病中的分布及熒光素眼底血管造影(fundus fluorescein angiography,FFA)特征。 方法 回顧性分析2001年01月09日至2009年08月31日在北京協(xié)和醫(yī)院眼科行FFA檢查的8500例患者資料,篩選出濕性AMD、PM、CEC和其他并發(fā)CNV的427例患者,分析這些疾病的分布和FFA特點(diǎn)。 結(jié)果 CNV性疾病總共427例,其中濕性年齡相關(guān)性黃斑變性(age-related macular degeneration, AMD)209例(254只眼),中心性滲出性脈絡(luò)膜視網(wǎng)膜病變(central exudative chorioretinopathy,CEC)132例(139只眼),病理性近視(pathologic myopia, PM)48例(61只眼),其他CNV性疾病38例。濕性AMD占CNV性疾病總數(shù)的比例為48.9%,CEC為30.9%,PM為11.2%,其他CNV性疾病占9%。濕性AMD患者年齡43-89歲,平均年齡64.2歲；男性106例,女性103例；單眼164例,雙眼45例。CEC患者年齡10-52歲,平均年齡27.4歲；男性39例,女性93例；單眼125例,雙眼7例。PM患者年齡19-68歲,平均年齡47.3歲；男性15例,女性33例；,單眼35例,雙眼13例。濕性AMD患眼總數(shù)254只眼,其中隱匿性CNV 161只眼,占63.4%;典型性CNV 46只眼,占18.1%；瘢痕性CNV 47只眼,占18.5%。 結(jié)論 北京協(xié)和醫(yī)院眼科FFA資料分析表明,CNV性疾病中最常見的是濕性AMD,其次是CEC和PM。濕性AMD中隱匿性CNV最多,占63.4%�；颊咂骄挲g最大的是濕性AMD,其次是PM和CEC。濕性AMD患者男女比例接近,CEC患者和PM患者均為女性多于男性。濕性AMD、CEC和PM三種疾病,患病眼別均是單眼多于雙眼。
[Abstract]:Purpose. To investigate the distribution of choroidal neovascularization (CNV) in different fundus diseases and the features of fundus fluorescein angiographic angiography (FFA) in choroidal neovascularization. Method. From January 9th 2001 to August 31st 2009, the data of 8500 patients who underwent FFA examination in Peking Union Hospital were retrospectively analyzed. The distribution and FFA characteristics of these diseases were analyzed. Results. There were 427 cases of CNV disease. There were 254 eyes with AMD)209, 139 eyes with central exudative chorioretinopathy, 61 eyes with pathologic myopia, 61 eyes with PM)48 and 38 cases with other CNV diseases, including wet age-related macular degeneration.The central exudative chorioretinopathy (CEC) of central exudative chorioretinopathy was found in 139 eyes, pathologic myopia in pathological myopia, PM)48 in 61 eyes, and other CNV diseases in 38 cases. The proportion of total CNV disease is 48.9%, PM is 11.2and other CNV disease is 9.The age of patients with wet AMD is 43-89 years old. The mean age was 64.2 years, 106 males, 103 females, 164 monocular patients, 45 CEC patients aged 10-52 years, 39 males, 93 females, 125 monocular patients and 7 patients with binocular .PM, with an average age of 47.3 years (ranging from 19 to 68 years). 15 cases were male, 33 cases were female, 35 cases were monocular, 13 cases were binocular. There were 254 eyes with wet AMD, including 161 eyes with occult CNV (63.4%), 46 eyes with typical CNV (18.1 eyes) and 47 eyes with scar CNV (18.5B). Conclusion. According to the analysis of FFA data of ophthalmology in Peking Union Hospital, the most common disease was wet CNV, followed by CEC and PM.The occult CNV in wet AMD was the most common. The average age of the patients was higher than that of PM and CEC.The ratio of male to female was higher than that of male in wet AMD.
【學(xué)位授予單位】：北京協(xié)和醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類號(hào)】：R773

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