糖尿病視網(wǎng)膜病變一超廣角熒光素眼底血管造影與etdrs 7張標(biāo)準(zhǔn)視野眼底血管造影的對(duì)比研究

糖尿病視網(wǎng)膜病變一超廣角熒光素眼底血管造影與etdrs 7張標(biāo)準(zhǔn)視野眼底血管造影的對(duì)比研究

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時(shí)間:2018-11-08

糖尿病視網(wǎng)膜病變一超廣角熒光素眼底血管造影與etdrs 7張標(biāo)準(zhǔn)視野眼底血管造影的對(duì)比研究_第1頁(yè)
糖尿病視網(wǎng)膜病變一超廣角熒光素眼底血管造影與etdrs 7張標(biāo)準(zhǔn)視野眼底血管造影的對(duì)比研究_第2頁(yè)
糖尿病視網(wǎng)膜病變一超廣角熒光素眼底血管造影與etdrs 7張標(biāo)準(zhǔn)視野眼底血管造影的對(duì)比研究_第3頁(yè)
糖尿病視網(wǎng)膜病變一超廣角熒光素眼底血管造影與etdrs 7張標(biāo)準(zhǔn)視野眼底血管造影的對(duì)比研究_第4頁(yè)
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1、授予單位代碼10089學(xué)號(hào)或申請(qǐng)?zhí)?0153288中國(guó)圖書分類號(hào)R774.1HebeiMedicalUniversity碩士學(xué)位論文專業(yè)學(xué)位糖尿病視網(wǎng)膜病變—超廣角熒光素眼底血管造影與ETDRS7張標(biāo)準(zhǔn)視野眼底血管造影的對(duì)比研究研究生:李旻昊導(dǎo)師:馬景學(xué)教授專業(yè):眼科學(xué)二級(jí)學(xué)院:河北醫(yī)科大學(xué)第二醫(yī)院2018年3月目錄中文摘要·················································································1英文摘要············································

2、·····································3英文縮寫·················································································5研究論文糖尿病視網(wǎng)膜病變—超廣角熒光素眼底血管造影與ETDRS7張標(biāo)準(zhǔn)視野眼底血管造影的對(duì)比研究前言·················································································7資料與方法································

3、········································8結(jié)果···············································································12附圖···············································································15附表···············································································19討論·

4、··············································································22結(jié)論···············································································25參考文獻(xiàn)·········································································25綜述超廣角眼底成像系統(tǒng)在糖尿病視網(wǎng)膜病變?cè)\療中的應(yīng)用··········27致謝···········

5、··········································································33個(gè)人簡(jiǎn)歷···············································································34中文摘要糖尿病視網(wǎng)膜病變—超廣角熒光素眼底血管造影與ETDRS7張標(biāo)準(zhǔn)視野眼底血管造影的對(duì)比研究摘要目的:通過超廣角熒光素眼底血管造影(ultra-widefieldfluoresceinangiography,UWFFA)與糖尿病視網(wǎng)膜病變?cè)缙谥委熝芯?earl

6、yTreatmentDiabeticRetinopathyStudy,ETDRS)7張標(biāo)準(zhǔn)視野(7-standardfields,7SF)眼底血管造影的對(duì)比,評(píng)價(jià)UWFFA與7SF在糖尿病視網(wǎng)膜病變(diabeticretinopathy,DR)眼底檢查范圍及分級(jí)診斷上的異同,初步探索DR常見的眼底異常表現(xiàn)發(fā)生的相關(guān)性,以便為今后DR的精確診療提供理論依據(jù)。方法:將臨床檢查確診為糖尿病的患者71例納入研究。采用Optos200Tx成像系統(tǒng)進(jìn)行超廣角彩色照相及眼底血管造影檢查。根據(jù)ETDRS的7SF檢查取圖規(guī)范,將7個(gè)30°范圍圓形區(qū)域拼接并覆蓋在UWFFA圖像上以模擬7SF檢查范

7、圍。由同一位受訓(xùn)練的眼科醫(yī)師對(duì)UWFFA及7SF造影圖像上視網(wǎng)膜可視區(qū)域、視網(wǎng)膜無灌注區(qū)(non-perfusion,NP)及視網(wǎng)膜新生血管(neovascularization,NV)進(jìn)行判定及面積測(cè)量,對(duì)比兩種檢查方式在觀察視野方面的異同;比較7SF范圍外的周邊視網(wǎng)膜血管滲漏(peripheralvesselleakage,PVL)與糖尿病黃斑水腫(diabeticmacularedema,DME)、NV之間的相關(guān)性、比較7SF范圍外的周邊視網(wǎng)膜NP與DME、NV之間相關(guān)性;

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