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ENGLISH ABSTRACT
息肉样脉络膜血管病变的手术治疗
焦明菲
李筱荣 [综述]
胡博杰 [综述]
作者及单位信息
·
DOI： 10.3760/cma.j.cn115985-20200519-00354
Surgery therapy for polypoidal choroidal vasculopathy
Jiao Mingfei
Li Xiaorong
Hu Bojie
Authors Info & Affiliations
Jiao Mingfei
Tianjin Medical University Eye Hospital, School of Optometry and Ophthalmology, TMU, Tianjin Medical University Eye Institute, Tianjin 300384, China
Li Xiaorong
Tianjin Medical University Eye Hospital, School of Optometry and Ophthalmology, TMU, Tianjin Medical University Eye Institute, Tianjin 300384, China
Hu Bojie
Tianjin Medical University Eye Hospital, School of Optometry and Ophthalmology, TMU, Tianjin Medical University Eye Institute, Tianjin 300384, China
·
DOI： 10.3760/cma.j.cn115985-20200519-00354
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摘要

随着眼内注药抗血管内皮生长因子(VEGF)的发展，息肉样脉络膜血管病变(PCV)的早期治疗有了一定的认识和发展。PCV一旦合并严重的玻璃体积血，治疗较棘手。本文就PCV发生玻璃体积血的原因，不同手术方式对于合并玻璃体积血的PCV的治疗，其中包括单纯玻璃体切割术、玻璃体腔注气术、术中联合玻璃体腔注药和PDT治疗、玻璃体切割联合CF 6、视网膜色素上皮移植、其他玻璃体切割的联合手术以及手术常见并发症、复发及预后等进行综述。

特发性息肉样脉络膜血管病变;手术;治疗
ABSTRACT

With the development of intraocular injection of anti-vascular endothelial growth factor (VEGF) drugs, early treatment of polypoidal choroidal vasculopathy (PCV) has more understanding and development.Once PCV combined with vitreous hemorrhage, treatment becomes much more difficult.The causes of vitreous hemorrhage in PCV, treatment of PCV with vitreous hemorrhage by different surgical methods, including simple vitrectomy, vitreous gas injection, intraoperative combined with vitrectomy and PDT, vitrectomy combined with CF 6, retinal pigment epithelium transplantation and other vitrectomy, as well as common operation complications, postoperative recurrence and prognosis are summarized in this article.

Polypoidal choroidal vasculopathy;Operation;Treatment
Li Xiaorong, Email: nc.defudabe.umtgnoroaixil
Copyright by Chinese Medical Association
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引用本文

焦明菲,李筱荣,胡博杰. 息肉样脉络膜血管病变的手术治疗[J]. 中华实验眼科杂志,2020,38(07)：629-632.

DOI:10.3760/cma.j.cn115985-20200519-00354

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息肉样脉络膜血管病变(polypoidal choroidal vasculopathy，PCV)是一种以眼底后部脉络膜血管局限性膨隆，呈息肉状改变，伴复发性出血，并有浆液性或出血性色素上皮脱离的眼部疾病。PCV最早在黑人女性患者中被描述为后部葡萄膜出血综合征和多次复发视网膜色素上皮脱离。吲哚青绿血管造影(indocyanine green angiography，ICGA)的特征性发现是具有脉络膜血管末端息肉扩张的分支脉络膜血管网。PCV在亚洲人群中更常见。但PCV的发病机制还没有完全理解 [ 1 ]。
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李筱荣，Email： nc.defudabe.umtgnoroaixil
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所有作者均声明不存在任何利益冲突
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天津市教委科研计划项目 (2018KJ051)
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