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[摘要]
目的:探讨氩绿激光治疗视网膜分支静脉阻塞的临床疗效。
方法:经眼底荧光血管造影(FFA)确诊为视网膜分支静脉阻塞(BRVO)患者60例60眼。患者随机分两组:A组(治疗组)使用氩绿视网膜光凝治疗30例; B例(对照组)口服活血化瘀药物(复方血栓通胶囊)治疗30例; 两组患者随访时间为治疗后1,3,6,12mo,随访内容为视力、FFA检查及眼底情况,对治疗6mo后视力恢复结果和黄斑水肿消退情况进行对比。
结果:A组:显效8例,有效20例,无效2例。B组:显效2例,有效14例,无效14例。A组合并黄斑囊样水肿者14例,给予氩绿视网膜光凝治疗后黄斑水肿消退12例,未消退2例; B组合并黄斑囊样水肿者13例,药物治疗后黄斑水肿消退3例,未消退10例,经卡方检验,差异有统计学意义(P<0.05)。
结论:氩绿激光对视网膜分支静脉阻塞的激光治疗有显著疗效,激光治疗组治疗后6mo病情稳定,效果好。
[Key word]
[Abstract]
AIM: To study the clinical curative effect argon chlorine laser treatment in branch retinal vein occlusion(BRVO).
METHODS:The 60 BRVO patients clinically confirmed by fundus fluorescein angiography(FFA)were randomly divided into 2 groups: group A(treatment group)30 cases underwent argon chlorine laser photocoagulation; group B(control group)30 cases were for activating blood circulation and eliminating stasis drugs(compound thrombosis the capsule)). The results of visual acuity and macula edema regression in the two groups 6 months after treatment were compared.
RESULTS: Group A: obviously effective in 8 cases, effective 20 cases. Group B: obviously effective in 2 cases, effective in 14 cases, invalid in 14 cases; Group A had 14 cases combined with macular edema, and after argon chlorine retinal photocoagulation, macular edema disappeared in 12 cases, not retreat in 2 cases; Group B had 13 cases combined with macular edema, and macular edema disappeared after medical treatment in 3 cases, not disappeared in 10 cases.
CONCLUSION:The argon laser photocoagulation is an effective treatment for BRVO, promote the visual acuity, shorten the duration of symptoms.
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