《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (02): 186-188.

• 临床研究 • 上一篇    下一篇

糖尿病视网膜病变患者黄斑厚度测量方法对比研究

王炜; 王海心   

  1. 解放军总医院眼科,北京市 100853
  • 收稿日期:2007-07-16 出版日期:2008-02-01 发布日期:2008-02-01

Comparative Study on Measure Methods for Macular Thickness in Patients with Diabetic Retinopathy

WANG Wei, WANG Hai-xin.   

  1. The Department of Ophthalmology, the General Hospital of PLA , Beijing 100853,China
  • Received:2007-07-16 Published:2008-02-01 Online:2008-02-01

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被引次数

5

摘要： 目的评价光学相干断层扫描(OCT)和海德堡断层扫描(HRT-Ⅱ)对背景期糖尿病视网膜病变患者黄斑水肿的诊断价值。方法40例背景期糖尿病视网膜病变患者(80眼)分成黄斑水肿组和非黄斑水肿组,用OCT测量黄斑区厚度,HRT-Ⅱ测量黄斑水肿指数,对结果进行统计学分析。结果对背景期糖尿病视网膜病变患者黄斑水肿的诊断,OCT检查的Kappa值高于HRT-Ⅱ。以眼底荧光血管造影(FFA)检查作为黄斑水肿的诊断标准,OCT检查P=0.0001,HRT-Ⅱ检查P=0.0856。结论OCT和HRT-Ⅱ均可用于定量检测糖尿病黄斑水肿,但OCT检查对黄斑水肿的确诊比HRT-Ⅱ检查更有优势;HRT-Ⅱ对黄斑水肿的误诊率高但漏诊率低,可以作为对糖尿病视网膜病变患者黄斑水肿进行筛查的手段。

关键词: 背景期糖尿病视网膜病变, 糖尿病黄斑水肿, 诊断

Abstract: Objective To assess the value of Heidelberg retina tomograph-Ⅱ(HRT-Ⅱ)and optical coherence tomography(OCT)on making a diagnosis of macular edema in patients with background diabetic retinopathy.Methods Eighty eyes of 40 patients with background diabetic retinopathy were divided into the macular edema group and non-macular edema group according to examination of fluorescein fundus angiography(FFA).Macular thickness was measured by OCT and edema index was invested by HRT-Ⅱ.The results were analyzed by statistics test.Results The Kappa value of OCT examination on diagnosis for macular edema of background diabetic retinopathy was bigger than the HRT-Ⅱ.Making FFA as the diagnosis standard of macular edema,OCT examination showed P=0.0001,HRT-Ⅱ examination showed P=0.0856.Conclusion OCT and HRT-Ⅱ can be used to quantitate the macular edema of the diabetic retinopathy patients.OCT is better in the final diagnosis for macular edema than HRT-Ⅱ,and HRT-Ⅱ has higher misdiagnosis rate and lower missed diagnosis rate.HRT-Ⅱ can be used to screen macular edema patients with diabetic retinopathy.

Key words: background diabetic retinopathy, macular edema, diagnosis