早期视网膜光凝联合血府逐瘀汤治疗缺血型视网膜静脉阻塞
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Curative effect of early retinal photocoagulation and Xuefuzhuyu decoction for ischemic retinal vein occlusion
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    摘要:

    目的:观察早期视网膜光凝联合血府逐瘀汤治疗缺血型视网膜静脉阻塞(retinal vein occlusion,RVO)的临床疗效。

    方法:采用Zeiss Lumenis 1000激光治疗机,对确诊为缺血型RVO的患者55例55眼早期行眼底激光光凝,辅以血府逐瘀汤治疗,3mo后复查,观察视力及视网膜无灌注区变化及新生血管情况。

    结果:治疗3mo后,23例(42%)视力提高,30例(55%)视力稳定,2例(4%)视力下降,总有效率96%。38例(69%)治疗后视网膜无灌注区消失,15例(27%)无灌注区面积<5视盘面积(disc area,DA),2例(4%)无灌注区面积≥5DA。

    结论:早期视网膜光凝联合血府逐瘀汤是一种有效的、合理的治疗缺血型视网膜静脉阻塞的方法。

    Abstract:

    AIM: To observe the curative effect of early retinal photocoagulation combined with Xuefuzhuyu decoction in treatment of ischemic retinal vein occlusion(RVO).

    METHODS: Fifty-five patients(55 eyes)with ischemic RVO received early retinal photocoagulation by Zeiss Lumenis 1000 laser machine combined with Xuefuzhuyu decoction. The visual acuity, capillary nonperfusion and neovascularization were detected at 3 months after treatment.

    RESULTS: Three months after treatment, visual acuity were increased in 23 cases(42%), steady in 30 cases(55%), decreased in 2 cases(4%), the total effective rate was 96%. Retinal non-perfusion area(NPA)disappeared in 38 cases(69%), NPA was less than 5 disc area(DA)in 15 cases(27%)and ≥5DA in 2 cases(4%).

    CONCLUSION: Early retinal photocoagulation and Xuefuzhuyu decoction is effective and reasonable treatment for ischemic RVO.

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高娟玉,周渊.早期视网膜光凝联合血府逐瘀汤治疗缺血型视网膜静脉阻塞.国际眼科杂志, 2013,13(9):1840-1841.

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  • 收稿日期:2013-06-29
  • 最后修改日期:2013-08-19
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  • 在线发布日期: 2013-08-26
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