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胰腺移植对糖尿病视网膜病变的影响:20例病例报告

Effect of pancreas transplantation on diabetic retinopathy: a 20-case report.

作者信息

Bandello F, Vigano C, Secchi A, Martinenghi S, Caldara R, Di Carlo V, Pozza G, Brancato R

机构信息

Department of Ophthalmology, Istituto Scientifico San Raffaele, Milan, Italy.

出版信息

Diabetologia. 1991 Aug;34 Suppl 1:S92-4. doi: 10.1007/BF00587629.

Abstract

In order to study the effects of normoglycaemia on diabetic retinopathy, 20 diabetic uraemic patients who underwent a kidney-pancreas transplantation were evaluated before and after surgery (6.9 months and once a year). The control group consisted of 12 uraemic patients who underwent kidney transplantation alone. At each follow-up examination a complete clinical examination and a retinal fluorescein angiography were performed. The eyes with end-stage retinopathy at baseline were excluded from the study. The analysis of the results showed no significant differences in the two groups. The diabetic retinopathy at the moment of the transplantation was already too advanced to benefit from the better glycaemic control.

摘要

为研究血糖正常对糖尿病视网膜病变的影响,对20例接受肾胰联合移植的糖尿病尿毒症患者在术前及术后(6.9个月时及每年一次)进行了评估。对照组由12例仅接受肾移植的尿毒症患者组成。每次随访检查时均进行全面的临床检查和视网膜荧光血管造影。基线时患有终末期视网膜病变的眼睛被排除在研究之外。结果分析显示两组之间无显著差异。移植时糖尿病视网膜病变已经过于严重,无法从更好的血糖控制中获益。

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