首页> 中文期刊> 《中国医药导刊》 >中老年人群中早期玻璃体后脱离的光学相干断层成像研究

中老年人群中早期玻璃体后脱离的光学相干断层成像研究

         

摘要

目的:应用光学相干断层成像(OCT)检查描述中老年人群中早期玻璃体后脱离(PVD)的发生情况进行研究。方法:选择我院2012年8月至2013年4月体检完成OCT检查1005例(2010眼),年龄43~90岁,平均年龄(57.23±10.81)岁,中位年龄为55岁。对1005例OCT检查者所获得OCT图像进行3部分项目分析,分别为:①性别与PVD。②年龄与PVD。③左右眼与PVD。结果:①1005例共发生PVD167例(16.62%),其中5眼可见玻璃体后界膜与黄斑部视网膜紧密粘连牵拉,神经上皮层隆起。②男性组发生PVD者65例(13.08%),女性组发生PVD者102例(20.08%),女性PVD发生率高于男性(P=0.003)。③各年龄组的PVD发生率呈增高的趋势,年龄>63岁组PVD发生率明显高于年龄≤49岁组(P=0.013)。④1005例左眼发生PVD者124例(12.34%),右眼发生PVD者121例(12.04%),差异无统计学意义(P=0.838)。结论:早期PVD的发生与性别相关。早期PVD的发生有随年龄增高的趋势。%[ABSTRACT]Objective:Application of optical coherence tomography(OCT) examination of the elderly population in the description of early posterior vitreous detachment(PVD) were performed to study the occurrence. Methods: In our hospital from 2012 August to 2013 April examination to complete the OCT examination in 1005 cases (2010 eyes), aged 43~90 years, mean age (57.23±10.81) years of age, the median age was 55 years old. The OCT examination of 1005 cases acquired OCT images of 3 part project analysis, respectively:①Gender and PVD. ②Age and PVD. ③The left and the right eye and PVD. Results: ①Occurred in 1005 cases of PVD167 patients (16.62%), including 5 eyes visible posterior hyaloid membrane and macular retinal tight adhesion traction, neuroepithelial layer eminence.② In 65 cases of male group developed PVD (13.08%), 102 cases of female group developed PVD (20.08%), female incidence rate of PVD was higher than that of male(P=0.003). ③ For each age group the incidence of PVD was increased, the older than 63 years old group the incidence of PVD was significantly higher than that of age≤49 years old group(P=0.013).④In 124 cases of 1005 cases of left eye PVD (12.34%), 121 cases of right eye PVD (12.04%), no significant difference(P=0.838). Conclusions:The early occurrence of PVD related with sex. The PVD incidence with age increasing.

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