眼底照像及荧光造影用于糖尿病视网膜病变早期诊断的比较

Comparing Study of Fundus Photography and Fluorescein Angiography on Diabetic Retinopathy's Early Diagnosis

目的比较眼底照像(FP)及眼底荧光血管造影(FFA)对于糖尿病视网膜病变(DR)的早期诊断价值。方法采用眼底照像及眼底荧光血管造影对231例(462眼)糖尿病患者进行筛查并对视网膜病变进行分期。结果 231例(462眼)糖尿病患者经FP诊断为DR 168例(310眼),其中Ⅰ期改变87例(162眼);而经FFA诊断为DR 196例(371眼),其中Ⅰ期改变114例(212眼)。两者比较差异有统计学意义(P<0.05)。结论 FFA比FP能更早期、更准确地发现病变,具有更高的诊断价值。

Objective To compare the value of fundus photography（FP） and fundus fluorescein angiography（FFA） on early diagnosis of diabetic retinopathy（DR）.Methods FP and FFA were performed on 462 eyes of 231 patients with diabetes.The degree of DR was assessed.Results One hundred and sixty-eight（310 eyes） of 231 patients（462 eyes） were diagnosed of DR and 87 patients（162 eyes） were distributed to stage 1,while 196patients（371 eyes） were diagnosed of DR among which 114 patients（212 eyes） were distributed to stage 1.A significant difference was noted on early diagnosis of DR between FP and FFA（P 0.05）.Conclusion FFA is better than FP on early diagnosis of diabetic retinopathy with earlier diagnosis and more accurate diagnosis.