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目的观察经瞳孔温热疗法(TTT)治疗孤立性脉络膜血管瘤的疗效。方法回顾分析2011年12月-2012年12月收治的16例孤立性脉络膜血管瘤患者16只患眼TTT治疗前后眼底照相、眼底荧光素血管造影、B型超声等临床资料。随访6~24个月,平均随访14个月。结果 8例伴有渗出性视网膜脱离的患者经治疗后周边液体完全吸收6例,部分吸收2例。治疗后视力不变者4例、提高者12例。治疗后B型超声显示12例瘤体厚度较治疗前明显降低。16例患者复查荧光素眼底血管造影检查均可见瘤体的渗漏明显减轻或消失,未发现任何治疗并发症。结论 TTT是治疗脉络膜血管瘤的有效方法。
Objective To observe the efficacy of transpupillary thermotherapy (TTT) in the treatment of solitary choroidal hemangioma. Methods The clinical data of fundus photography, fundus fluorescein angiography and B-mode ultrasound in 16 patients with solitary choroidal hemangioma from December 2011 to December 2012 were retrospectively analyzed. All cases were followed up for 6-24 months and followed up for an average of 14 months. Results 8 cases of patients with exudative retinal detachment after treatment of peripheral fluid completely absorbed in 6 cases, partially absorbed in 2 cases. After treatment, 4 cases of unchanged vision, improved in 12 cases. After treatment, B-mode ultrasound showed that the thickness of the tumor in 12 cases was significantly lower than that before treatment. 16 cases of patients with fluorescein fundus angiography examination showed that the leakage of the tumor was significantly reduced or disappeared, did not find any treatment of complications. Conclusion TTT is an effective method for the treatment of choroidal hemangiomas.