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[糖尿病视网膜病变增殖前期和增殖期的临床研究]

[Clinical study on preproliferative and proliferative diabetic retinopathy].

作者信息

Zhang C F

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1989 Aug;11(4):242-5.

PMID:2532967
Abstract

A long-term follow-up study was carried out on 159 cases (245 eyes) of pre-proliferative and proliferative diabetic retinopathy. In 75 percent of the series, diabetic retinopathy progressed and visual acuity markedly decreased. Argon Iaser panretinal photocoagulation was performed and followed-up in 80 of the cases (138 eyes). 50.72% of these obtained good results, visual acuity improved by more than 2 lines. Only 10.14% of the treated series showed progression of the disorder. There were 10 cases of diabetic mellitus associated with pregnancy. Argon laser panretinal photocoagulation just prior to and after delivery was effective against preproliferative and proliferative diabetic retinopathy. The prognosis of pregnant patients was greatly enhanced.

摘要

对159例(245只眼)增殖前期及增殖期糖尿病视网膜病变患者进行了长期随访研究。在该系列病例中,75%的患者糖尿病视网膜病变病情进展,视力显著下降。对其中80例(138只眼)进行了氩激光全视网膜光凝治疗并随访。这些患者中50.72%取得了良好效果,视力提高超过2行。仅10.14%的治疗组患者病情出现进展。有10例糖尿病合并妊娠患者。在分娩前后进行氩激光全视网膜光凝对增殖前期及增殖期糖尿病视网膜病变有效。妊娠患者的预后得到了极大改善。

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