荧光素眼底血管造影在糖尿病视网膜病变早期诊断中应用.docVIP

荧光素眼底血管造影在糖尿病视网膜病变早期诊断中应用 　　[摘要] 目的：探讨荧光素眼底血管造影（FFA）在糖尿病视网膜病变早期诊断的价值。方法：选取本院2006年6月～2009年7月收治的500例（965只眼）糖尿病患者拟诊视网膜疾病的临床资料，患者进行检眼镜检查，后对患者进行荧光素眼底血管造影，诊断患者的视网膜病变情况和分级，并根据诊断结果指导治疗。结果：检眼镜检查670只眼存在视网膜病变，病变率为69.43%，Ⅰ期220只，Ⅱ期135只，Ⅲ期147只，Ⅳ期85只，Ⅴ期83只；后经荧光素眼底血管造影检查，有868只眼存在视网膜病变，病变率为89.95%，Ⅰ期288只，Ⅱ期210只，Ⅲ期173只，Ⅳ期103只，Ⅴ期94只。荧光素眼底血管造影的诊断正确率较高，两种诊断方法比较差异有统计学意义（P＜0.05）。结论：荧光素眼底血管造影诊断糖尿病患者视网膜病变，检出率较高，并可以进行分期，是指导患者治疗和疗效评价的重要手段，值得在临床推广。 　　[关键词] 糖尿病；视网膜病变；荧光素眼底血管造影；早期诊断 　　[中图分类号] R587.1 [文献标识码]A[文章编号]1674-4721（2011）03（b）-031-02 　　 　　Fundus fluorescein angiography in early diagnosis of diabetic retinopathy application 　　WANG Xiaoyi, CHEN Zilin, ZHONG Kairen, WU Shuru, LIAO Fenglan 　　Department of Ophthalmology, People′s Center Hospital of Huizhou City, Guangdong Province Huizhou 516001, China 　　[Abstract] Objective: To evaluate the fundus fluorescein angiography (FFA) in diabetic retinopathy early diagnosis. Methods: The hospital from June 2006 to July 2009 admitted 500 patients (965 eyes) with diabetic retinopathy in patients with suspected clinical data of patients with ophthalmoscopy, patients after fundus fluorescein angiography, diagnostic patients with retinal lesions and graded, and based on the results to guide treatment. Results: 670 eyes ophthalmoscopy there retinopathy lesions was 69.43%, Ⅰ of 220 eyes, Ⅱ of 135 eyes, Ⅲ of 147 eyes, Ⅳ of 85 eyes, Ⅴ of 83 patients; by fluorescence fundus angiography inspection, there are 868 existing retinopathy eyes, the lesion was 89.95%, Ⅰof 288 eyes, Ⅱ of 210 eyes, Ⅲ of 173 eyes, Ⅳ of 103 eyes, Ⅴ of 94 eyes. Fundus fluorescein angiography higher diagnostic accuracy of two diagnostic methods was statistically significant difference (P0.05). Conclusion: The diagnosis of fundus fluorescein angiography in diabetic retinopathy, a higher detection rate and can be phased. To guide the evaluation of patients and efficacy of an important means of promotion in clinical. 　　[Key words] Diabetes mellitus; Retinopathy; Fundus fluorescein ang