31第35卷第1期2023年VOL.35NO.12023菏泽医学专科学校学报JOURNALOFHEZEMEDICALCOLLEGEDOI:10.3969/j.issn.1008-4118.2023.01.009*YAG激光消融术治疗生理性玻璃体混浊效果观察郑盼盼1，黄鲁英1，段飞1，路博2，王焕霞3，崔京卫2，戴馨1，王勇1（1菏泽医学专科学校；2菏泽医学专科学校附属医院，山东菏泽274000；3山东中医药大学附属医院，山东济南250000）摘要：目的探究YAG激光消融术治疗生理性玻璃体混浊的临床效果。方法选取我院收治的玻璃体混浊患者30例（30眼），飞蚊症持续3个月以上；治疗前均测量视力、眼压；眼部B超测量混浊物面积大小；光学相干断层扫描(OCT)测量黄斑中心凹厚度（CMT），并由同一位临床经验丰富的医生给予YAG激光玻璃体消融术。观察记录术后1周、1个月、3个月、6个月的视力、眼压、混浊物面积大小和CMT。结果激光治疗前后视力、眼压均无明显改变（P>0.05）；治疗前后混浊物面积大小比较，P<0.05；治疗前后CMT无明显改变（P>0.05）。结论YAG激光消融术治疗不同级别的玻璃体混浊均有效果，治疗前后CMT无明显差异，说明YAG激光消融术治疗生理性玻璃体混浊安全有效。关键词：YAG激光消融术；生理性；玻璃体混浊；疗效中图分类号：R776文献标识码：A文章编号：1008-4118（2023）01-0031-03EfficacyofYAGlaserablationinthetreatmentofphysiologicalvitreousopacityZHENGPanpan1,HUANGLuying1,DUANFei1,LUBo2,WANGHuanxia3,CUIJingwei2,DAIXin1,WANGYong1（1HezeMedicalCollege;2AffiliatedHospitalofHezeMedicalCollege,Heze274000,Shandong;3AffiliatedHospitalofShandongUniversityofTraditionalChineseMedicine,Jinan250000,Shandong）Abstract:ObjectiveToexploretheefficacyofYAGlaserablationinthetreatmentofphysiologicalvitreousopacity.Methods30cases(30eyes)ofpatientswithvitreousablationwhoweretreatedinourhospitalfromApril2020toMay2021wereselected.Theirfloaterslastedformorethan3months.Beforetreatment,allpatientsweremeasuredvision,intraocularpressure,thesizeofturbiditybyB-ultrasoundandthecentralmacularthickness(CMT)byopticalcorrelationtomography(OCT).TheYAGlaserablationwascompletedbyoneexperiencedsurgeon.Thevision,intraocularpressure,thesizeofturbidityandCMTwererecordedandanalyzedat1week,1month,3monthsand6monthsaftertreatment.ResultsTherewasnosignificantdifferenceinv...
