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糖尿病性黄斑水肿与玻璃体视乳头牵引的相关性分析
何娜
0
(西安交通大学第二附属医院)
摘要:
目的分析Ⅱ型糖尿病患者中糖尿病性视网膜水肿与玻璃体视乳头牵引是否相关。方法选择2015年6月~2016年6月西安交通大学医学院第二附属医院眼科门诊和内分泌科会诊期间诊断为DR(diabetic retinopathy,糖尿病性视网膜病变)的Ⅱ型糖尿病41例患者的临床资料,记录患者的全身检查情况和疾病史,检查所有患者的彩色眼底照相、相干光断层扫描(optical coherence tomography,OCT)、荧光素眼底血管造影(部分患者)检查。根据OCT图像特点选取有玻璃体视乳头牵引的患者21例36只眼作为研究组(A组),并选取与研究组患者全身和眼底病情相近,OCT检查无玻璃体视乳头牵引20例患者40只眼作为对照组(B组)。两组中与糖尿病有关的因素采用两独立样本均数的t检验和卡方检验;比较两组患者的黄斑部视网膜厚度。结果玻璃体视乳头牵引组患者的黄斑区视网膜厚度明显大于对照组(P<0.05)。糖尿病患者玻璃体视乳头牵拉有不同形态和不同程度的表现,与其伴随的黄斑水肿形态亦有不同,但牵拉形态和黄斑水肿的关系还需要更大样本的研究。结论糖尿病性黄斑水肿可能和玻璃体视乳头牵拉相关。
关键词:  
DOI:
基金项目:陕西省社发攻关项目资助(2014K11-03-04-01)
Correlation between diabetic macular edema and vitreopapillary traction
()
Abstract:
Objective To investigate the association between diabetic macular edema and vitreopapillary traction.Methods Patients with type II diabetes from June 2015 to June 2016 were selected and their clinical information was collected.The result of body examination were recorded and all the patients were examined documenting spectral domain optical coherence tomography(SD-OCT)and color fundus photography.Some of them were also examined by fluorescence fundus angiography.36 cases with vitreopapillary traction syndrome were included in the study group,while 40 cases with normal vitreopapillary surface in the control group.Patients in the two groups had the similar general condition.Independent-Samples T test and Chi-square test were used to make comparisons between pairs of groups.Results Macular retinal of study group was thicker than that of control group.Conclusion Diabetic macular edema may related with vitreopapillary traction.
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