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...