玻璃體切割術(shù)術(shù)前Bevacizumba玻璃體腔注射聯(lián)合視網(wǎng)膜內(nèi)界膜剝離治療糖尿病黃斑水腫的療效觀察
發(fā)布時(shí)間：2018-10-14 21:07
【摘要】： 目的 探討術(shù)前Bevacizumba玻璃體腔內(nèi)注射聯(lián)合術(shù)中行視網(wǎng)膜內(nèi)界膜(internal limiting membrane, ILM)剝離治療糖尿病視網(wǎng)膜病變的療效觀察。 方法 對30例(30只眼)增殖期糖尿病視網(wǎng)膜病變患者隨機(jī)分成兩組,A組：玻璃體切割加吲哚菁綠染色(ICG)染色I(xiàn)LM剝離16只眼；B組：術(shù)前一周行Bevacizumba玻璃體腔內(nèi)注射,玻璃體切割加吲哚菁綠染色(ICG)染色I(xiàn)LM剝離14只眼。所有患者術(shù)中行視網(wǎng)膜激光光凝及10%C3F8惰氣填充,術(shù)后保持面朝下體位7-8天。患者定期隨訪3-12個(gè)月。 結(jié)果 A組16只眼中視力提高2行或2行以上11只眼(68.8%),黃斑平均厚度314μm。B組14只眼中視力提高2行或2行以上14只眼(100%),黃斑平均厚度292μm。B組手術(shù)后視力提高明顯優(yōu)于A組,B組患者手術(shù)后黃斑區(qū)視網(wǎng)膜厚度明顯低于A組。經(jīng)統(tǒng)計(jì)學(xué)比較兩者具有明顯的統(tǒng)計(jì)學(xué)差異(P0.01)。 結(jié)論 玻璃體切割術(shù)聯(lián)合ILM剝離術(shù)是治療糖尿病視網(wǎng)膜病變的有效方法,術(shù)前Bevacizumba注射聯(lián)合術(shù)中ILM剝離更更明顯提高手術(shù)的療效。
[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.
【學(xué)位授予單位】：中國醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2010
【分類號】：R774.5
本文編號：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.
【學(xué)位授予單位】：中國醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2010
【分類號】：R774.5
【參考文獻(xiàn)】
相關(guān)期刊論文 前1條
1 劉哲麗,孫鵬;視網(wǎng)膜內(nèi)界膜剝離治療糖尿病黃斑水腫的療效觀察[J];中華眼底病雜志;2005年03期
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