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1、多波长氮激光治疗糖尿病视网膜病变的疗效观察摘要目的：观察多波长氟离了激光对糖尿病视网膜病变(diabeticretinopathy,DR)的疗效。方法：根据DRPSG(DiabeticRetinopathyPhotocoagulationStudyGroup)制订的治疗技术规定，采用多波长氮离了激光对160例283眼［分别为增殖前期糖尿病视网膜病变(PPDR)、增殖期糖尿病视网膜病变(PDR)］行全视网膜光凝治疗(PRP),根据病变性质、部位和屈光间质情况选择不同波长激光进行视网膜光凝。术前行视力、裂隙灯、检眼镜、眼压、眼B型超声、视野和荧光素眼底血管造影检杏，术后随访6〜2
2、4个月。结果：PPDR视力提高和不变占75眼(78.11%),PDR视力提高和不变占153眼(81.18%),X间未见严重并发症。结论：用多波长氮离子激光治疗DR操作方便，使部分患者视力提高，是治疗DR的有效方法，可依实际需要组合使用不同波长治疗糖尿病视网膜病变，扩大了治疗DR的适应证。关键词氮离子激光糖尿病视网膜病变激光凝固术屮图分类号：R774.1文献标识码：A文章编号:1006-1533(2011)08-0386-03Clinicalresearchinthetreatmentofdiabeticretinopathyusingdifferentwavelengthkr
3、yptonlasersphotocoagulationRENQianl,YUHuai,ZHANGJie2(1.DepartmentofOpthalmology,theFourthHospitalofShijiazhuang,Shijiazhuang,050011；2.ShanghaiEthypharmPharmaCo.,Shanghai,200003)ABSTRACTObjective:Toinvestigatethetherapeuticeffectofdifferentwavelengthkryptonlasersondiabeticretinopathy.Methods
4、:BasedonthetreatmenttechniquestipulationsformulatedbyDRPSG(DiabeticRetinopathyPhotocoagulationStudyGroup),283eyesin160casesrespectivelysufferingfromprepro1iferrativediabeticretinopathy(PPDR),proliferativediabeticretinopathy(PDR)weretreatedwithpanretinalphotocoagulationaccordingtothedifferen
5、tmanifestationoftheaffectedeyes・Thevisualacuity,intraocularpressure,visualfield,slitlampophthalmoscopy,Bultrasonographyandfundusfluoresceinangiographywereperformedpre^operalively.Thepationtswerefollowedupforatleast6monthsafterkryptonlasertreatment.Results:Visualacuitywasimprovedormaintained
6、in75eyesC78.11%)ingroupofPPDR,153eyes(81.18%)ingroupofPDR.Conclusion:Differentwavelengthkryptonlasersphotocoagulationisaneffectiveancladvantageousmethodforthetreatmentofdiabeticretinopathy.Differentwavelengthkryptonlasersphotocoagulationcanbeusedinthetreatmentofdiabeticretinopathyandimprove
7、thevisualacuitvtoacertainextent.KEYWORDSkryptonlasers；diabeticretinopathy；lasercoagulation目前，激光光凝是治疗糖尿病视网膜病变(diabeticretinopathy,DR)的唯一有效措施［1〜5］。以往由于技术等条件限制，激光光凝均为单一色光。近年来，多波长氮离子激光器问世，可根据需要同时切换使用不同波长进行光凝，为治疗复杂眼底病、尤其为治疗DR提供了更好的方法。我院采川多波长氮离了激光器，运用多波长联合技术对D
