激光光凝手术治疗眼底疾病的临床效果观察.doc

激光光凝手术治疗眼底疾病的临床效果观察.doc[ ]目的探讨激光光凝手术治疗眼底疾病的临床效果以及不良反应。方法将90例(113眼) 眼底疾病患者按照治疗方法分为保守治疗组与激光光凝手术组,比较两组患者临床疗效及治疗后并发症发生情况。结果(1)% (53/58),显著高于保守治疗组(%, 43/55),差异具有统计学意义(P
[关键词]激光光凝手术;眼底疾病;保守治疗; 并发症
[ ] [ ]B [ ] 1673-9701 (2016) 12-0062-03
Observation of the clinical effect of laser photocoagulation in the treatment of ocular fundus diseases
FANG Qiang
Department of Ophthalmology, the 148 Hospital of PL A, Zibo 255300,China
[Abstract] Objective To investigate the clinical effect and adverse reaction of laser photocoagulation in treatment of ocular fundus diseases. Methods A total of
90 cases (113 eyes) of patients with fundus disease according to treatment methods were divided into conservative treatment group and laser photocoagulation group, clinical efficacy plications pared between two groups. Results ①The laser photocoagulation group of patients with clinical total effective rate was % (53/58), significantly higher than that of conservative treatment group (%, 43/55), the difference was significant between two groups (),具有可比性。
保守治疗组给予沃丽汀(天津药业集团新郑股份
有限公司,国药准字H20058566)进行治疗, mg/ 次,3次/d;连续口服时间为2个月,每月复查1次。激光光凝手术治疗组:术前半小时患眼使用复方托毗卡***(沈阳兴齐制药有限公司,国药准字H20055546) 进行充分扩瞳,使得瞳孔直径扩大至6〜8 mm,于激光裂隙灯下,%的地卡因(江苏九旭药业有限公司,国药准字H20000309)点滴患眼进行表面麻醉,眼底采用全视网膜镜进行观察,光点对准病变组织,激光参数调整以后发射激光束,按照病变的实际大小,每次治疗需要击射12〜500点不等的激光,病变范围比较小者治疗
1次即可痊愈,病变范围
比较大者间隔1〜2周可以