房强解放军第一四八医院眼科，山东淄博　255300

激光光凝手术治疗眼底疾病的临床效果观察

房强
解放军第一四八医院眼科，山东淄博255300

目的 探讨激光光凝手术治疗眼底疾病的临床效果以及不良反应。方法 将90例（113眼）眼底疾病患者按照治疗方法分为保守治疗组与激光光凝手术组，比较两组患者临床疗效及治疗后并发症发生情况。结果 （1）激光光凝手术组患者临床总有效率为91.38%（53/58），显著高于保守治疗组（78.18%，43/55），差异具有统计学意义（P＜0.05）；（2）激光光凝手术组患者治疗后并发症总发生率为6.90%（4/58），显著低于保守治疗组20.00%（11/55），差异具有统计学意义（P＜0.05）。结论 与保守治疗方法相比，眼底疾病行激光光凝手术治疗的临床效果更佳，术后并发症发生率低，应在临床治疗眼底疾病中加以推广。

激光光凝手术；眼底疾病；保守治疗；并发症

[Abstract]Objective To investigate the clinical effect and adverse reaction of laser photocoagulation in treatment of ocular fundus diseases.Methods A total of 90 cases(113 eyes)of patients with fundus disease according to treatment methods were divided into conservative treatment group and laser photocoagulation group,clinical efficacy and complications were compared between two groups.Results①The laser photocoagulation group of patients with clinical total effective rate was 91.38%(53/58),significantly higher than that of conservative treatment group(78.18%,43/55),the difference was significant between two groups(P<0.05);②After treatment,the complications occurred rate of laser photocoagulation group was 6.90%(4/58),significantly lower than 20.00%(11/55)in the conservative treatment group, the difference was significant(P<0.05).Conclusion Compared with conservative treatment,laser surgery in treatment of fundus disease has better clinical effect,lower incidence of postoperative complications,should be popularized in clinical treatment of ocular fundus diseases.

[Key words]Laser photocoagulation;Retinal diseases;Conservative treatment;Complication

眼底疾病多样且复杂，糖尿病、肾病、细菌感染等均为常见病因[1]，眼底疾病对视力影响较大，传统的药物以及物理等疗法一般很难达到预期效果，近年来随着科学技术的快速进步与发展，眼底激光光凝手术已经逐渐发展成为各类眼底疾病的重要治疗方式[2]，激光光凝术通过对视网膜病变局部的热凝和破坏达到根治眼底病的疗效。随着光凝技术的发展，该技术已经成为各类眼底疾病治疗最为有效的手段，其作用于视网膜的异常组织，加速瘢痕愈合，从而对有效改善患者临床症状及预后生活质量具有重要意义[3，4]。本研究主要对比分析保守治疗与激光光凝手术治疗各类眼底疾病的临床效果，现报道如下。……