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題名 | Diode Laser Photocoagulation for Retinopathy of Prematurity--Six Years Experience=早產兒視網膜病變之二極體雷射光凝固治療--六年之經驗 |
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作者 | 何昭德; 楊中美; 何子昌; 陳慕師; 鄒國英; 柯嘉音; Ho, Jau-der; Yang, Chung-may; Ho, Tzyy-chang; Chen, Muh-shy; Yau Tsou, Kuo-ying; Kua, Ka-em; |
期刊 | 慈濟醫學 |
出版日期 | 19971200 |
卷期 | 9:4 1997.12[民86.12] |
頁次 | 頁265-272 |
分類號 | 417.5171 |
語文 | eng |
關鍵詞 | 早產兒視網膜病變; 二極體雷射光凝固治療; 冷凍治療; Retinopathy of prematurity; Diode laser photocoagulation; Cryotherapy; |
中文摘要 | 早產兒視網膜病變是一種可能導致早產兒眼盲之疾病,冷凍治療已被證實可以減 少因早產兒視網膜病變導致之視力喪失的情形。近來對於早產兒視網膜病變之治療,有學者 建議雷射光凝固治療可能優於冷凍治療。本研究將評估以二極體雷射光凝固治療早產兒視網 膜病變之效果。自 1991 年 1 月至 1996 年 6 月,共有 32 位早產兒的 60 隻眼睛接受二 極體雷射光凝固治療。 出生週數自 24 週至 32 週,出生體重自 638 克至 1470 克,施行 雷射時的受孕後週數為 31 週至 44 週。 在雷射治療時,13 位早產兒接受包括氣管插管之 全身麻醉, 而另外 19 位則施以靜脈內注射鎮靜劑及局部點眼麻醉。 治療後之追蹤均在 3 個月以上。 53 隻眼睛( 88.3% )於第一次雷射治療後早產兒視網膜病變消退,而有 2 隻 眼睛( 3.4% )則在兩次雷射治療後網膜病變才消退。5 隻眼睛( 8.3% )在接受雷射治療 後,仍惡化至早產兒視網膜病變第 4 期或第 5 期。所有眼睛在接受雷射治療後均只有輕微 之發炎反應。本研究顯示對於早產兒視網膜病變使用二極體雷射光凝固治療是有效的。 |
英文摘要 | Retinopathy of prematurity (ROP) is a potentially blinding disease in the premature infants. Timely cryotherapy has been proved to be effective to prevent visual loss. Recently, laser photocoagulation has been suggested as an favorable alternative to cryotherapy. In this study, we evaluate the surgical results of diode laser photocoagulation in the treatment of ROP. From January 1991 to June 1996, 60 eyes of 32 infants were treated with diode laser photocoagulation for progressive stage 3 ROP. The gestational age ranged from 24 to 32 weeks. The birth body weight ranged from 638 to 1470 g. Post conceptional age was 31 to 44 weeks at the time of the treatment. General anesthesia was used in 13 infants, while the other 19 infants received intravenous sedation and topical anesthesia. Diode laser was applied to all the avascular area of the retina. Patients were followed for at least 3 months after the laser treatment. Fifty-three eyes (88.3%) showed regression of ROP after one session of the treatment. ROP in two eyes regressed after the second session of the treatment. Five eyes (8.3%) progressed to retinal detachment. Minimal intraocular inflammation was noted after the treatment. Our findings suggest the usefulness of diode laser photocoagulation in the treatment of ROP. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。