目的:研究光动力疗法(photodynamic therapy,PDT)治疗脉络膜新生血管的效果和相关护理的价值。方法:回顾性分析我科用PDT治疗65例68眼脉络膜新生血管的效果、并发症及处理效果。结果:31眼(46%)视力提高2行及以上,33眼(49%)视力变化在2行以内,4眼(6%)视力下降2行以上;41眼荧光素渗漏停止(60%),22眼荧光素渗漏减少(32%),而5眼荧光素渗漏增加(8%);2例输液相关性背痛,未发生药液渗漏和皮肤光敏反应。全部治疗病例对治疗结果无不满意。结论:PDT治疗脉络膜新生血管疗效可靠,详细解释和精心护理是避免医疗纠纷的关键。

AIM:To study the effect of photodynamic therapy (PDT) on choroidal neovascularization and the research value of related medical nursing.METHODS:The results and complications of 68 eyes in 65 cases of choroidal neovascularization treated with PDT was analyzed retrospectively.RESULTS:Improvement in visual acuity more than two lines was in 31 eyes (46%), less than two lines was in 33 eyes (49%), and worse in 4 eyes (6%).No fluorescein leakage was found in 41 eyes (60%), while decreased fluorescein leakage in 22 eyes (32%), and increased fluorescein leakage in 5 eyes (8%); backache was found in 2 cases, liquid leakage and photosensitive skin reactions was not found. Satisfaction was found in all cases.CONCLUSION:The efficacy of PDT on choroidal neovascularization is reliable. Detailed explanation and intensive care is the key factor to avoid of medical dispute.

R773.4