[二极管激光治疗早产儿视网膜病变的结果]
[The results of diode laser treatment of retinopathy of prematurity].
作者信息
Oziebło-Kupczyk Monika, Antosiuk Regina, Bakunowicz-Lazarczyk Alina
机构信息
Z Kliniki Okulistyki Dzieciecej Akademii Medycznej w Białymstoku.
出版信息
Klin Oczna. 2005;107(10-12):620-1.
PURPOSE
To evaluate the results of diode laser treatment of active phase of retinopathy in prematurity.
MATERIAL AND METHODS
We studied 240 premature infants since January 2003 to October 2004. In 60 premature infants (102 eyes--25%) ROP was found. 26 premature infants (52 eyes--43.3%) with threshold ROP (stage 3a) in II zone (12 eyes) and in II and III zone (40 eyes) were treated with an aid of diode laser. Birth weight varied from 650 to 990g (mean 799.23g) and gestational age from 23 to 28 weeks (mean Hbd 26.2).
RESULTS
Good anatomical results were obtained in 25 cases (50 eyes--96.15%), in 1 case (2 eyes--3.85%) was total retinal detachment. In this case the progress of retinopathy was caused by small birth weight and other chronic disorders.
CONCLUSIONS
Diode laser treatment of active phase of retinopathy in prematurity gives good anatomical results. The results of treatment depend on the other chronic diseases of premature infants.
目的
评估二极管激光治疗早产儿视网膜病变活动期的效果。
材料与方法
我们对2003年1月至2004年10月期间的240例早产儿进行了研究。在60例早产儿（102只眼，占25%）中发现了视网膜病变。对26例阈值性视网膜病变（3a期）的早产儿（52只眼，占43.3%）进行了二极管激光治疗，其中12只眼位于Ⅱ区，40只眼位于Ⅱ区和Ⅲ区。出生体重在650至990克之间（平均799.23克），胎龄在23至28周之间（平均26.2周）。
结果
25例（50只眼，占96.15%）取得了良好的解剖学效果，1例（2只眼，占3.85%）发生了完全性视网膜脱离。在该病例中，视网膜病变的进展是由低出生体重和其他慢性疾病引起的。
结论
二极管激光治疗早产儿视网膜病变活动期可取得良好的解剖学效果。治疗结果取决于早产儿的其他慢性疾病。
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