FFA和OCT在诊断视网膜中央动静脉阻塞中的应用价值
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Application value of FFA and OCT in diagnosis of central retinal artery and vein occlusion
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    摘要:

    目的:探讨荧光素眼底血管造影(fundus fluorescein angiography,FFA)、相干光断层扫描(optical coherent tomography,OCT)在诊断视网膜中央动静脉阻塞中的临床价值。

    方法:对2012-06/2015-12本院眼科中心收集的47例47眼视网膜中央动静脉阻塞病例进行回顾性分析,根据临床最终确诊结果分为视网膜中央动脉阻塞(central retinal artery occlusion,CRAO)患者21眼、视网膜中央静脉阻塞(central retinal vein occlusion,CRVO)患者26眼,所有患者均于起病2wk内接受了FFA和OCT检查,对两种检查结果的图像资料进行分析。

    结果:CRAO组患者的平均黄斑中心小凹厚度、测量角度、充盈时间测定结果均显著低于CRVO组患者的平均值,差异均具有统计学意义(P<0.05)。

    结论:视网膜中央动静脉阻塞的OCT、FFA图像各具特点,二者结合可以较好地鉴别诊断视网膜中央动静脉阻塞。

    Abstract:

    AIM: To investigate the clinical value of fundus fluorescein angiography(FFA)and optical coherent tomography(OCT)in the diagnosis of central retinal vein occlusion.

    METHODS: A total of 47 cases(47 eyes)central retinal vein occlusion were retrospectively analyzed from Jun. 2012 to Dec. 2015 in our hospital ophthalmology center. According to the final diagnosis, the results were divided into 21 cases of central retinal artery occlusion(group CRAO, 21 eyes)and central retinal vein occlusion(group CRVO, 26 eyes). All patients received FFA and OCT examination within 2wk of onset, and the image data of the two kinds of examination results were analyzed.

    RESULTS: Group of patients with CRAO average macular foveola thickness, angle measuring, filling time determination results were significantly lower than that of the patients with CRVO group average and the differences were significant(P<0.05).

    CONCLUSION:FFA and OCT images of central retinal artery and vein occlusion have their own characteristics, and the combination of these two images can be used to identify and diagnose the central retinal artery and vein occlusion.

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王文玲,户秀慧. FFA和OCT在诊断视网膜中央动静脉阻塞中的应用价值.国际眼科杂志, 2016,16(10):1946-1948.

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  • 收稿日期:2016-06-22
  • 最后修改日期:2016-09-01
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  • 在线发布日期: 2016-09-19
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