糖尿病视网膜病变激光光凝术后睫状体脱离的UBM观察.pdf.pdf

目录一、摘要中文论著摘要???????????????????????????1 英文论著摘要??????????????????????????”3 二、英文缩略语???????????????????????????。5 三、论文前言????????????????????????????????????????”6 甘U茜????????????????????????????????????????”材料与方法???????????????????????????¨6 结果????????????????????????????????????????..7 讨论????????????????????????????????????????¨9 结论????????????????????????????????????????1 四、本研究创新性的自我评价?????????????????????1 2 五、参考文献????????????????????????????·13 六、附录综述????????????????????????????????????????15 在校期间科研成绩????????????????????????23 致谢??????????????????????????????24 个人简介????????????????????????????·25 ·中文论著摘要· 糖尿病视网膜病变激光光凝术后睫状体脱离的 UBM观察目的观察不同激光能量治疗糖尿病视网膜病变患者术后睫状体脱离的发生率,探讨不同激光能量与睫状体脱离的相关性。方法将49例85眼经检眼镜检查和FFA检查确诊为增殖前期、增殖期糖尿病视网膜病变患者,随机分成A、B两组。A组42眼,行全视网膜光凝术,激光点数: 点,,标准III级光斑;B组共43眼,行全视网膜光凝术,激光参数:,,标准Ⅲ级光斑。所有患眼分4 次光凝,首次光凝下方1/4象限视网膜,光凝术后第2天行UBM检查,观察和分析光凝术后睫状体的改变。对检查结果进行X2检验,分析两组之间视网膜光凝术后睫状体脱离的发生率是否有显著性差异。结果 85眼光凝术后第2日眼前节未见明显的炎症反应。视网膜光凝术后第2日A 组42眼中有14眼出现睫状体脱离,%。B组43眼中有24眼出现睫状体脱离,%。38只眼中36只眼为全周睫状体脱离,2只眼为部分象限脱离。 B组光凝术后睫状体脱离的病例数明显高于A组,统计学分析有显著性差异(p<)。结论二口◆匕视网膜光凝术后睫状体脱离是较为常见的眼部并发症。睫状体脱离与激光能量呈正相关,随着激光能量的增加,睫状体脱离的发生率亦增加。关键词糖尿病性视网膜病变;视网膜激光光凝;睫状体脱离;超声生物显微镜 2 ·英文论著摘要· Observation forciliarybody detachment afterlaser photocoagulation for diabetic retinopathy byUBM obj ective The purpose ofthestudy is toinvestigate theincidence oftheciliarybody detachment afterretinalphotocoagulation fordiabeticretinopathy、)l,ith different laser therelmiverelationship between different laserenergy wiⅡlciliary body detachment. Methods 49cases(85 eyes)patients sufferedfrompreproliferative andearlyproliferative diabeticretinopathydiagnosed by fundus examination and FFA aredividedrandomly intotwo groups:group A(42eyes)treated withpanretinalphotocoagulation,laser parameter:250·350 bums of250·300um spot size on theretina;group B(43 eyes) treated、Ⅳitllpanretinalphotocoagulation,400·550 bums of250—300um spotsize onthe ey