激光光凝对早产儿视网膜病变阈值前I型的作用分析

激光光凝对早产儿视网膜病变阈值前I型的作用分析
徐蕊;孙智慧;刘颖
【期刊名称】《陕西医学杂志》
【年(卷),期】2018(047)001
【摘要】Objective:To investigate the therapeutic effect of laser photocoagulation for type Ⅰ pre-threshold retinopathy of
prematurity .Methods :A retrospective analysis of 220 cases(380 eyes) of type Ⅰ pre-threshold reti-nopathy of prematurity in our hospital in recent 5 years were conducted .They were under 810nm laser photocoagula-tion surgery ,and we evaluated the effect of laser treatment ,comparing the basic information between regressed group and progressed
group .Postoperative adverse reactions were also described .Results :220 cases (380 eyes) were treated with laser photocoagulation ,ROP regressed completely in 376 eyes (98 .94% ) ,regressed but with a fi-brous proliferative membrane in 2 eyes (0 .53% ) ,progressed to stage 4A in 2 eyes (0 .53% ) .The difference of cur-ative effect between zone I and zone 2 was not statistically significant ,the basic information between regressed group and progressed group was not statistically significant (P>0 .05) ,no treatment-related adverse events occurred .Con-clusion:The therapeutic effect of laser photocoagulation for type Ⅰ pre-threshold retinopathy of prematurity is good .%目的:探讨激光光凝对早产儿视网膜病变阈值前I型的治疗效果.方法:对220例(380眼)Ⅰ型阈值前病变早产儿行810nm激光视网膜光凝手
术,评价激光治疗效果,比较病变消退组和病变进展组患儿的治疗情况及术后不良反应发生情况.结果:220例患儿380只眼经激光光凝治疗后,病变完全消退376只眼(98.94%),病变消退但存在纤维增殖膜2眼(0.53%),病变进展至4 A期2眼(0.53%).I区和Ⅱ区病变疗效差异不具有统计学意义(P>0.05),病变消退组和病变进展组的患儿基本情况差异不具有统计学意义(P>0.05),未发生与治疗相关的不良反应.结论:激光光凝对早产儿视网膜病变阈值前I型具有较好的治疗效果.
【总页数】3页(P66-68)
【作者】徐蕊;孙智慧;刘颖
【作者单位】河北省承德市中心医院眼科承德067000;河北省承德市中心医院眼科承德067000;河北省承德市中心医院眼科承德067000
【正文语种】中文
【中图分类】R722.6
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