查詢結果分析
相關文獻
- Early Laser Treatment for Advanced Retinopathy of Prematurity
- Evaluation of the Pain-Relieving Effect of Carbamazepine (Tegretol[feb9]) during Panretinal Photocoagulation
- 極度早產兒的體內含鐵量過高會增加早產兒視網膜病變的危險性
- 早產兒視網膜病變之手術治療
- 早產兒視網膜病變眼科與新生兒科醫師之聯合照顧
- 早產兒視網膜病變之病理變化機轉
- 早產兒視網膜病變之流行病學研究、檢查及分類
- 早產兒視網膜病變的冷凍療法與光凝固療法
- 早產兒視網膜病變
- 早產兒視網膜病變
頁籤選單縮合
題名 | Early Laser Treatment for Advanced Retinopathy of Prematurity=嚴重早產兒視網膜病變之早期網膜雷射治療 |
---|---|
作者 | 吳嘉敏; 王嘉康; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 49:2 2010.06[民99.06] |
頁次 | 頁154-161 |
分類號 | 417.5171 |
關鍵詞 | 早產兒; 視網膜病變; 網膜雷射; Diode laser; Retinopathy of prematurity; Early treatment; Threshold disease; Gestational age; Birth body weight; |
語文 | 英文(English) |
中文摘要 | 目的:調查台灣早產兒視網膜病變之早期雷射治療成果。方法:蒐集從2003年12月至2008年07月在亞東紀念醫院出生之新生兒,符合視網膜篩檢之條件。診斷為閥值警戒視網膜病變或第一型早產兒視網膜病變(依照早產兒視網膜病變早期治療ETROP之定義)者,隨即接受週邊視網膜無血管區域之二極體雷射治療。結果:共蒐集一百六十八位病患,其中二十一位(12.5%)接受雷射治療。統計顯示在閥值警戒視網膜病變患者與第一型早產兒視網膜病變患者間不論是妊娠週數、接受雷射治療的時間、及出生體重皆有顯著差異(P<0.05)。所有接受雷射治療之患者皆為單次手術(無合併其他視網膜手術或再次雷射)。結論:早期雷射治療早產兒視網膜病變之效果良好。接受雷射治療的患者中,第一型早產兒視網膜病變患者與閥值警戒視網膜病變患者比較,前者的妊娠週數小、出生體重低、巨接受雷射時間早。 |
英文摘要 | Background and Objective: To investigate the clinical outcome of early laser treatment for advanced retinopathy of prematurity (ROP) in Taiwan. Materials and Methods: From December 2003 to July 2008, we performed fundus examination during postnatal 4-week period for infants with gestational age (GA) less than 36 weeks or birth body weight (BBW) less than 2000 g at Far Eastern Memorial Hospital. Peripheral retinal avascular-area ablation with diode laser in nearly confluent pattern was done in infants with threshold ROP and type 1 ROP, according to the guidelines of Early Treatment for Retinopathy of Prematurity (ETROP) trial. Results: We included 168 cases (336 eyes) in our study. There were 21 cases (42 eyes) (12.5%) compatible with criteria for laser treatment. Ten cases were categorized as type 1 ROP, with the other 11 categorized as threshold ROP. There was statistically significant difference in GA and BBW between type 1 and threshold ROP (p < 0.05). Laser treatment was administered in type 1 ROP at postconceptual age 35.9 ± 1.6 weeks, which was younger than 37.5 ± 1.3 weeks in threshold ROP (p = 0.02). After single session of laser treatment, all of the cases had regressed ROP without any unfavorable structural outcome. Conclusion: The ETROP trial provided practical guidelines for treatment of advanced ROP among infants in Taiwan. Infants with type 1 ROP had significantly younger GA, less BBW, and younger postconceptual age in which laser was performed than those with threshold ROP. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。