部分冷冻消融对早产儿视网膜病变的影响。
Effect of partial cryoablation on retinopathy of prematurity.
作者信息
Nissenkorn I, Axer-Siegel R, Kremer I, Ben-Sira I
机构信息
Department of Ophthalmology, Beilinson Medical Center, Petah Tiqva, Israel.
出版信息
Br J Ophthalmol. 1991 Mar;75(3):160-2. doi: 10.1136/bjo.75.3.160.
Cryotherapy has been shown to be an effective treatment for retinopathy of prematurity stage 3. It is said to reduce the unfavourable outcome of the disease by 50%. The accepted method of therapy includes ablation of the whole avascular retina from the ridge to the ora serrata. This is achieved by two to three rows of cryoapplications. When 360 degrees cryo treatment is performed, it requires 52 cryo applications. We present our method of cryotherapy which involves only one row of cryoapplications in the avascular retina anterior to the fibrovascular ridge. An average of 25-30 cryoapplications was required for a 360 degrees treatment. The anatomical results in 23 babies are presented. Complete regression of active retinopathy was found in all.
冷冻疗法已被证明是治疗3期早产儿视网膜病变的有效方法。据说它能将该疾病的不良后果降低50%。公认的治疗方法包括从嵴到锯齿缘对整个无血管视网膜进行消融。这通过两到三排冷冻治疗来实现。当进行360度冷冻治疗时，需要52次冷冻治疗。我们介绍我们的冷冻疗法，该方法仅在纤维血管嵴前方的无血管视网膜中进行一排冷冻治疗。360度治疗平均需要25 - 30次冷冻治疗。文中展示了23名婴儿的解剖学结果。所有婴儿的活动性视网膜病变均完全消退。
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