全视网膜光凝治疗糖尿病视网膜病变的疗效观察

目的　对多波长氪激光全视网膜光凝治疗糖尿病视网膜病变 (diabeticretinopathy ,DR)的疗效进行观察并总结研究。方法　选择经FFA检查确诊为增殖前期及增殖期的DR患者 2 0 0例 390眼 ,对不同部位的病变选择不同波长的激光行全视网膜光凝。结果　 390眼DR患眼行全视网膜光凝治疗后 ,有效 379眼 ,总有效率 97.18% ,其中增殖前期 190眼 ,有效 189眼 ,有效率 99.4 7% ;增殖期 2 0 0眼 ,有效 190眼 ,有效率 95 .0 0 % (P <0 .0 1)。结论　DR患者早期行全视网膜光凝治疗可有效防止病变的发展 ,增加视力。

Curative effect of panretinal photocoagulation in the treatment of diabetic retinopathy

Objective To observe and summary the effect of panretinal photocoagulation in the 200 cases(390 eyes)with diabetic retinopathy. Methods Pre-proliferative and proliferative outpatients were f i nally diagnosed by fundus fluorescein angiography(FFA).A various wavelength w ere selected to treat a various locus. Results After panretinal photocoagulation,379 of 390 eyes wit h diabetic retinopathy were in effect and the total effective rate was 97.18% , 189 of 190 eyes with pre-proliferative diabetic retinopathy were in effect and the effective rate was 99.47%,190 of 200 eyes with proliferative diabetic retinop athy were in effect and the effective rate was 95.00%(P<0.01). Conclusion The early panretinal photocoagulation may effective ly prevent the development of lesion and increase the restoration of vision in t he diabetic retinopathy.