Nd:YAG激光消融术治疗玻璃体混浊的疗效观察
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Therapeutic effect of Nd:YAG laser ablation in patients with vitreous floaters
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    摘要:

    目的:观察Nd:YAG激光消融术治疗玻璃体混浊的疗效。

    方法:回顾性分析2016-10/2017-01我科收治并确诊为玻璃体混浊并采用Nd:YAG激光治疗的患者78例84眼的临床资料,采用χ2检验、Mann-Whitney检验、Kruskal-Wallis检验和Spearman检验等比较不同病因和玻璃体分级间的治疗效果。

    结果:治疗2wk后,所有患眼(84眼)中显效66眼(79%),有效16眼(19%),无效2眼(2%),激光治疗的总有效率为98%; 不同病因引起的玻璃体混浊,其治疗效果和治疗次数差异没有统计学意义(H=3.842,P=0.146; χ2=0.070,P=0.966); 玻璃体混浊Ⅰ级、Ⅱ级的治疗有效率均为100%,Ⅲ级为92%,Ⅳ级为83%,玻璃体混浊分级与疗效呈负相关(rs=-0.027,P=0.013)。Ⅰ级患眼需要治疗1次的有38眼(90%),Ⅱ级的有21眼(88%),Ⅲ级的有9眼(75%),Ⅳ级的有2眼(33%),不同分级的患眼治疗次数差异具有统计学意义(U=2.580,P=0.010)。

    结论:Nd:YAG激光玻璃体消融术是治疗玻璃体混浊的一种操作简单、方便,能快速改善飞蚊症状的治疗方法。

    Abstract:

    AIM: To observe the effect of Nd:YAG laser ablation on vitreous floaters.

    METHODS: From October 2016 to January 2017, 78 cases(84 eyes)with vitreous floaters treated with Nd:YAG laser ablation were involved. Chi-square test, Mann-Whitney Test, Kruskal-Wallis test and Spearman test were used to compare the therapeutic effect with different etiologies and grades.

    RESULTS: After two-week treatment, there were 66 eyes(79%)with a significant resolution, 16 eyes(19%)with an improvement and 2 eyes(2%)invalid. The total effective rate was 98%. There was no significant difference between the therapeutic effect and times in different etiologies(H=3.842,P=0.146; χ2=0.070, P=0.966); the effective rate were 100% in grade Ⅰ and Ⅱ, 92% in grade Ⅲ, 83% in grade Ⅳ, and the grade had a negative correlation with the therapeutic effect(rs=-0.027, P=0.013). There were 38 eyes(90%)in grade Ⅰ, 21 eyes(88%)in grade Ⅱ, 9 eyes(75%)in grade Ⅲ, and 2 eyes(33%)in grade Ⅳ needed once treatment. There was significant difference between different grades and treatment times(U=2.580, P=0.010).

    CONCLUSION: Nd:YAG laser ablation is a simple and convenient operation for vitreous floaters, and could improve the symptom of vitreous floater rapidly.

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史春. Nd:YAG激光消融术治疗玻璃体混浊的疗效观察.国际眼科杂志, 2018,18(1):169-171.

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  • 收稿日期:2017-07-25
  • 最后修改日期:2017-12-01
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  • 在线发布日期: 2017-12-18
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