期刊文献+

康柏西普联合玻璃体切割术治疗增生性糖尿病视网膜病变的疗效分析 被引量:24

Analysis of the efficacy of the conbercept combined with vitrectomy in the treatment of proliferative diabetic retinopathy
原文传递
导出
摘要 目的:探讨康柏西普联合玻璃体切割术治疗增生性糖尿病视网膜病变的疗效。方法:本研究选取了100例增生性糖尿病视网膜病变,年龄27~68岁,对照组(47例)单纯给予玻璃体切割术治疗,康柏西普组(53例)采用玻璃体切除术前3~6天眼内注射康博西普治疗。通过对患者术前术后6个月最佳矫正视力(BCVA),术前,术后3个月、6个月黄斑中心凹厚度,随访6个月期间并发症情况进行记录,评价康柏西普联合玻璃体切割术治疗增生性糖尿病视网膜病变的疗效。结果:术前两组 BCVA 相比,差异没有统计学意义;术后6个月,康博西普组和对照组 BCVA 均明显提高,且康博西普组 BCVA 高于对照组,与术前相比,术后3个月,6个月的黄斑中心凹厚度均明显变薄。随访6个月期间,康博西普组并发症发生率明显低于对照组。结论:康柏西普联合玻璃体切割术治疗增生性糖尿病视网膜病变可有效改善视力,减轻黄斑水肿症状,术后并发症较少。 Objective Discuss the efficacy of the conbercept combined with vitrectomy in the treatment of proliferative diabetic retinopathy. Methods 100 patients with proliferative diabetic retinopathy were selected, 27~68 years old, the control group (47 cases) was only given vitrectomy, the conbercept group (53 cases) was given conbercept combined with vitrectomy. The efficacy of the conbercept combined with vitrectomy in the treatment of proliferative diabetic retinopathy was evaluated by BCVA, foveal thickness, the complication rate. Results There were no statistical significance on BCVA between two groups. After 6 months surgery, the BCVA in the conbercept group and control group was increased apparently. And the BCVA in the conbercept group was higher than that of the control group. Compared with the value before surgery, the Compare with the values before surgery, the foveal thickness was thinner after 3 months and 6 months surgery. During the follow-up period of 6 months, the complication rate in the conbercept group was apparently lower than than of the control group. Conclusion The conbercept combined with vitrectomy in the treatment of proliferative diabetic retinopathy could improve eyesight effectively, reduce the symptoms of macular edema and postoperative complications.
作者 陈小瑾
出处 《湖南师范大学学报(医学版)》 2016年第6期-,共3页 Journal of Hunan Normal University(Medical Sciences)
基金 陕西省卫生科研项目(NO.2014E12)
关键词 康柏西普 玻璃体切除术 增生性糖尿病视网膜病变 BCVA 黄斑中心凹厚度 conbercept vitrectomy proliferative diabetic retinopathy BCVA foveal thickness
  • 相关文献

参考文献4

二级参考文献38

  • 1Jorge R, Costa RA, Calucci D, et al. Intravitreal bevacizumab (Avastin) for persistent new vessels in diabetic retinopathy (IBEPE study) [J].Retinas, 2006,26(9) : 999-1005.
  • 2Hood PP, Cotter TP, Costello JF, et al. Effect of intravenous cor- ticosteroid on ex vivo leukotriene generation by blood leuco- cytes of normal and asthmatic patients [J].Thorax, 1999, 54: 1075-1082.
  • 3Avery RL, Pearlman J, Pieramici DJ, et al. Intravitreal bevaci- zumab(Avastin)in the treatment of proliferative diabetic retinop- athy[J]. Ophthalmology,2006,113 : 1695-1705.
  • 4Ozaki NK, Beharry KD, Nishihara KC, et al.Regulation of retinal vascular endothelial growth factor and receptors in rabbits ex- posed to hyperoxia[J]. Invest Ophthalmol Vis Sci, 2002,43: 1546-1557.
  • 5Wilson CA,Berkowitz BA,Sato Y,et al.Treatment with intravitre- al steroid reduces blood-retinal barrier breakdown due to reti- nal photocoagulation[J]. Arch Ophthalmol, 1992,10:1155-1159.
  • 6Presta LG,Chen H,O'Connor SJ,et al. Humanization of an an- ti-vascular endothelial growth factor monoclonal antibody for the therapy of soild tumors and other disorders[J].Cancer Res, 1997,57 (20) :4593-4599.
  • 7Arosha I, Fernando, Jyotin C Pandit. Intravitreal triameinolone acetonide for refractory diabetic macular oedema[J]. Journal of the Royal Society of Me.dicine,2005,98:421-422.
  • 8Jost B. Jonas, MD, Robert F,etal. Duration of the Effect of Intra- vitreal Triamcinolone Acetonide as Treatment for Diffuse Diabet- ic Macular Edema[J]. Am J Ophthalmol,2004, 138:158-160.
  • 9Antcliff R J, Spalton D J, Stanford MR, etal. Intravitreal triamcino- lone for uveitic cystoid macular edema:an optical coherence to- mography study[J]. Ophthalmology,2001,108:765-772.
  • 10Greenberg PB, Martidis A, Rogers AH, etal. Intravitreal triamcino- . lone acetonide for macular edema due to central retinal vein oc- clusion[J]. Br J Ophthalmol,2002,86:247-248.

共引文献19

同被引文献214

引证文献24

二级引证文献176

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部