577nm微脉冲激光联合中药治疗中心性浆液性脉络膜视网膜病变

A clinical study on the micropulse photocoagulation combined with the Chinese medicine to treat the central serous chorioretinopathy

目的研究577nm微脉冲激光联合中药治疗中心性浆液性脉络膜视网膜病变的临床疗效观察。方法临床选取34例前来我院门诊就医的中心性浆液性脉络膜视网膜病变患者,分为治疗组及对照组各17例(17只眼),治疗组给予577nm微脉冲激光联合葛芪复明中药治疗和对照组仅给予577nm微脉冲激光治疗。治疗后1月分别行最佳矫正视力、眼底照相、黄斑区OCT检查。结果治疗1月后,治疗组总有效率为94.12%,对照组总有效率为76.47%,两组均有较好疗效,但治疗1月后治疗组与对照组总有效率比较有差异,P<0.05有统计学意义,治疗组明显好于对照组。结论577nm微脉冲激光联合葛芪复明中药组治疗中心性浆液性脉络膜视网膜病变疗效更好,恢复更快。

Objective To study the curative effect of the micropulse photocoagulation combined with the Chinese medicine to treat the central serous chorioretinopathy(CSC). Methods Clinically collected the patient diagnosed as CSC,patients are divided into treatment group (17eyes)and control group(17eyes) at random,the treatmentd group the micropulse photocoagulation combined with the Chinese medicine,the control group treated by the micropulse photocoagulation;Treatment after 1 month,according to the vision、central macurlar thickness(CMT),observation before and after treatment in patients of clinical effect. Results The treatment group was 94.12%,the control group was 76.47%,there were significant diffience between the two groups;Conclusion The micropulse photocoagulation combining with traditional Chinese medicine has more superior curative effect on treating the central serous chorioretinopathy(CSC).