超广角激光眼底扫描检查在视网膜疾病早期筛查的价值

The Value of Ultra-Wide-Angle Laser Fundus Scanning in Early Screening for Retinal Disease

目的:探究超广角激光眼底扫描检查在视网膜疾病早期筛查中的临床应用价值。方法:将2021年9月~2022年9月于本院就诊且疑似糖尿病性视网膜病变的患者74例作为研究对象,所有患者均接受超广角激光眼底扫描检查及光学相干断层扫描仪检查,并依据检查结果进行诊断,所有患者最终通过眼底镜检查进行确诊。分析不同检查方法对诊断的临床价值,具体包括:检查结果分布、两种检查方法的诊断符合率、特异性、灵敏度。结果:经眼底镜检查后,74例患者中,60例确诊为糖尿病性视网膜病变。光学相干断层扫描仪检查结果中,真阳性为49例,假阴性为11例,诊断符合率为81.67%。超广角激光眼底扫描检查结果中,真阳性为57例,假阴性为3例,诊断符合率为95.00%。组间诊断结果显示,相比光学相干断层扫描仪检查,超广角激光眼底扫描检查的准确率更高(P<0.05),诊断特异度更高(P<0.05),诊断灵敏度更高(P<0.05)。结论:对于视网膜疾病早期筛查,超广角激光眼底扫描检查具有良好的临床应用价值。

Objective:To explore the clinical value of ultra-wide angle laser fundus scanning in early screening of retinal diseases.Methods:From September 2021 to September 2022 in our hospital and 74 patients diagnosed with diabetic retinopathy as a research object,all patients accept ultra-wide angle laser fundus scanning and optical coherence tomography examination,and according to the examination results for diagnosis,all patients finally diagnosed by fundoscopy.Analyze the clinical value of different examination methods for diagnosis,including specifically:the distribution of examination results,the diagnostic coincidence rate,specificity,and sensitivity of the two examination methods.Results:After fundoscopy,60 out of the 74 patients were diagnosed with diabetic retinopathy.Among the optical coherence tomography findings,49 true positives and 11 false negatives occurred,and the diagnostic concordance rate was 81.67%.Among the results of ultra-wide-angle laser fundus scanning,57 were true positives and 3 were false negatives,and the diagnostic concordance rate was 95.00%.The diagnostic results between the groups showed that ultra-wide angle laser fundus scan showed higher accuracy(P<0.05),higher diagnostic specificity(P<0.05)and higher no diagnostic sensitivity(P<0.05).Conclusion:For the early screening of retinal diseases,the ultra-wide angle laser fundus scanning examination has a good clinical application value.