頁籤選單縮合
題名 | 臺中榮總早產兒視網膜病變之篩檢及治療=Experience of Screening and Treatment of Retinopathy of Prematurity in Taichung Veterans General Hospital |
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作者 | 沈秉衡; 莊文慧; 蔡顯揚; Shen, Brian Bing-herng; Jhuang, Wei-huey; Tsai, Hin-yeung; |
期刊 | 中華民國眼科醫學會雜誌 |
出版日期 | 19960600 |
卷期 | 35:2 1996.06[民85.06] |
頁次 | 頁47-53 |
分類號 | 417.5171 |
語文 | chi |
關鍵詞 | 臺中榮總; 早產兒; 視網膜病變; Retinopathy of Prematurity; Birth body weight; Gestational age; Cryotherapy; Laser indirect ophthalmoscopy; |
中文摘要 | 台中榮民總醫院眼科從1992年3月開始,針對早產兒視網膜病變做計劃 性的篩檢。篩檢對象為本院出生或他院轉診之早產兒,生出體重低於1500公克, 或懷孕週數少於32週,以及出生時有其他嚴重合併症須氧氣治療者。截至1995年 6月,受檢之131位早產兒,檢出早產兒視網膜病變共44例占32.8,其中46眼達到 須要治療之程度,占早產兒視網膜病變之52.2。早產兒中體重低於1500公克者檢 出率高達45,懷孕週數小於32週者,檢出率高達43。比較無早產兒視網膜病變之 正常組、未達治療閥值組與達到治療閥值組,三組的平均出生體重和懷孕週數在 統計學上均有顯看差異,早產兒視網膜病變之檢出率及嚴重程度在低出生體重及 低懷孕週教之比例較高,接受冷凍或雷射治療有46眼,治療後病變持續進行者有 15眼,占32.6,15眼全部是影響區間I(Zone I)或區間I、II交接處之病例,冷凍治療 失敗率為42.3,雷射治療失敗率為20,但是冷凍治療組中區間I病例本就高達42.3。 有3例眼為第四期(Stage 4A),但只影響區間II(Zone II),其治療效果良好。 |
英文摘要 | Screening program for retinopathy of pre-maturity (ROP) in Taichung VGH started sinceMarch, 1992. All infants of birth body weigh (BBW)below 1500 gm or gestational age (GA) less than 32weeks, and/or receiving supplemental oxygen therapydue to severe neonatal complication, either born inour hospital or transferred from other hospitals,underwent ophthalmic examination. Between March1992 and June 1995, 131 prematurity (262 eyes)completed the screening program. 86 eyes (32.8)developed ROP, of whom 46 eyes (52.2) developedthreshold ROP. 45 babies with BBW less than 1500gm developed ROP, while 43 babies born with GAless 32 weeks developed ROP. There was significant difference between the 3 subgroups of babies withoutROP, non-threshold ROP and threshold ROP. Theincidence and severity of ROP correlated with BBWand GA. 46 eyes with threshold ROP receivedcryotherapy or laser indirect ophthalmoscopy (LIO);15 eyes (32.6) progressed after treatment, all ofthem were classified to be in zone I or zone 1-11junction. Failure rate in cryotherapy group were42.3, while 20 in LIO group. The percentage ofpatients with zone I disease in cryotherapy groupshown to be 42.3 and was twice as LIO group.There were 3 eyes with stage 4A, involved zone IIonly, got favorable outcome. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。