糖尿病视网膜病变一超广角荧光素眼底血管造影与etdrs 7张标准视野眼底血管造影的对比研究

《糖尿病视网膜病变一超广角荧光素眼底血管造影与etdrs 7张标准视野眼底血管造影的对比研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089学号或申请号20153288中国图书分类号R774.1HebeiMedicalUniversity硕士学位论文专业学位糖尿病视网膜病变—超广角荧光素眼底血管造影与ETDRS7张标准视野眼底血管造影的对比研究研究生：李旻昊导师：马景学教授专业：眼科学二级学院：河北医科大学第二医院2018年3月目录中文摘要·················································································1英文摘要············································

2、·····································3英文缩写·················································································5研究论文糖尿病视网膜病变—超广角荧光素眼底血管造影与ETDRS7张标准视野眼底血管造影的对比研究前言·················································································7资料与方法································

3、········································8结果···············································································12附图···············································································15附表···············································································19讨论·

4、··············································································22结论···············································································25参考文献·········································································25综述超广角眼底成像系统在糖尿病视网膜病变诊疗中的应用··········27致谢···········

5、··········································································33个人简历···············································································34中文摘要糖尿病视网膜病变—超广角荧光素眼底血管造影与ETDRS7张标准视野眼底血管造影的对比研究摘要目的：通过超广角荧光素眼底血管造影(ultra-widefieldfluoresceinangiography,UWFFA)与糖尿病视网膜病变早期治疗研究(earl

6、yTreatmentDiabeticRetinopathyStudy,ETDRS)7张标准视野(7-standardfields,7SF)眼底血管造影的对比，评价UWFFA与7SF在糖尿病视网膜病变(diabeticretinopathy,DR)眼底检查范围及分级诊断上的异同，初步探索DR常见的眼底异常表现发生的相关性，以便为今后DR的精确诊疗提供理论依据。方法：将临床检查确诊为糖尿病的患者71例纳入研究。采用Optos200Tx成像系统进行超广角彩色照相及眼底血管造影检查。根据ETDRS的7SF检查取图规范，将7个30°范围圆形区域拼接并覆盖在UWFFA图像上以模拟7SF检查范

7、围。由同一位受训练的眼科医师对UWFFA及7SF造影图像上视网膜可视区域、视网膜无灌注区(non-perfusion,NP)及视网膜新生血管(neovascularization,NV)进行判定及面积测量，对比两种检查方式在观察视野方面的异同；比较7SF范围外的周边视网膜血管渗漏(peripheralvesselleakage,PVL)与糖尿病黄斑水肿(diabeticmacularedema,DME)、NV之间的相关性、比较7SF范围外的周边视网膜NP与DME、NV之间相关性；