{"id":3197,"date":"2021-03-14T07:43:33","date_gmt":"2021-03-14T07:43:33","guid":{"rendered":"http:\/\/isec.my\/patientinformation\/rvo-prevention-and-treatment-part-2\/"},"modified":"2021-03-14T07:49:58","modified_gmt":"2021-03-14T07:49:58","slug":"rvo-prevention-and-treatment-part-2","status":"publish","type":"patientinformation","link":"https:\/\/www.isec.my\/cn\/patientinformation\/rvo-prevention-and-treatment-part-2\/","title":{"rendered":"\u9884\u9632\u4e0e\u6cbb\u7597\u89c6\u7f51\u819c\u9759\u8109\u963b\u585e\uff08RVO\uff09\u7b2c\u4e8c\u90e8\u5206"},"content":{"rendered":"<table border=\"0\" width=\"100%\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td><span class=\"f2nd_title_blue\"><strong>\u4ecb\u7ecd<\/strong><\/span><\/p>\n<p class=\"lineheight\">\u4e0a\u4e2a\u89c6\u7f51\u819c\u9759\u8109\u963b\u585e\uff08RVO\uff09\u7684\u6587\u7ae0\u8ba8\u8bba\u4e86\u89c6\u7f51\u819c\u9759\u8109\u963b\u585e\u7684\u7c7b\u578b\u548c\u539f\u56e0\u3002\u60a3\u6709RVO\u7684\u60a3\u8005\u53ef\u80fd\u4f1a\u4e25\u91cd\u4e27\u5931\u89c6\u529b\uff0c\u5e76\u7ecf\u5e38\u60a3\u6709\u5176\u4ed6\u91cd\u5927\u7684\u5065\u5eb7\u95ee\u9898\uff0c\u4f8b\u5982\u9ad8\u8840\u538b\uff0c\u7cd6\u5c3f\u75c5\u548c\u8840\u6db2\u4e2d\u80c6\u56fa\u9187\u6c34\u5e73\u9ad8\u3002\u5728\u672c\u6587\u4e2d\uff0c\u6211\u4eec\u5c06\u8ba8\u8bba\u9632\u6b62RVO\u53d1\u751f\u7684\u65b9\u6cd5\u4ee5\u53caRVO\u7684\u6700\u65b0\u6cbb\u7597\u65b9\u6cd5\u3002<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>\n<p class=\"f2nd_title_blue\"><strong>\u9884\u9632\u89c6\u7f51\u819c\u9759\u8109\u963b\u585e<\/strong><\/p>\n<p class=\"lineheight\">\u9ad8\u8840\u538b\uff0c\u8840\u6db2\u4e2d\u80c6\u56fa\u9187\u6c34\u5e73\u9ad8\u4ee5\u53ca\u60a3\u6709\u7cd6\u5c3f\u75c5\u7684\u60a3\u8005\u60a3RVO\u7684\u98ce\u9669\u589e\u52a0\u3002\u91cd\u8981\u7684\u662f\u8981\u786e\u4fdd\u5bf9\u8fd9\u4e9b\u5e38\u89c1\u75be\u75c5\u8fdb\u884c\u826f\u597d\u7684\u63a7\u5236\uff0c\u4ee5\u51cf\u5c11\u5176\u5c06\u6765\u60a3RVO\u7684\u98ce\u9669\u3002\u60a3\u6709\u8840\u6813\u5f62\u6210\u6027\u75be\u75c5\uff08\u51dd\u8840\u75c5\uff09\u6216\u9ad8\u534a\u80f1\u6c28\u9178\u6c34\u5e73\u9ad8\u7684\u7f55\u89c1\u75be\u75c5\u7684\u60a3\u8005\u4e5f\u6709RVO\u7684\u98ce\u9669\uff0c\u56e0\u6b64\u826f\u597d\u7684\u63a7\u5236\u5bf9\u9632\u6b62\u75be\u75c5\u5f88\u91cd\u8981\u3002<\/p>\n<p class=\"lineheight\">\u4e00\u65e6\u60a3\u8005\u7684\u4e00\u53ea\u773c\u775b\u60a3\u4e0aRVO\uff0c\u57285\u5e74\u5185\u5c06\u670915\uff05\u673a\u7387\u5728\u540c\u4e00\u53ea\u773c\u775b\u6216\u53e6\u4e00\u53ea\u773c\u775b\u60a3\u4e0aRVO\u3002\u56e0\u6b64\uff0c\u5bf9\u60a3\u8005\u5b9a\u671f\u8fdb\u884c\u7b5b\u67e5\u548c\u63d0\u524d\u6cbb\u7597\uff0c\u4ee5\u9632\u6b62RVO\u590d\u53d1\u3002RVO\u60a3\u8005\u6b7b\u4e8e\u5fc3\u810f\u75c5\u53d1\u4f5c\u548c\u4e2d\u98ce\u7684\u98ce\u9669\u66f4\u9ad8\uff0c\u56e0\u6b64\uff0c\u6cbb\u7597\u5168\u8eab\u6027\u75be\u75c5\uff0c\u5c24\u5176\u662f\u9ad8\u8840\u538b\uff0c\u5bf9\u9884\u9632\u8fd9\u79cd\u75be\u75c5\u7684\u53d1\u751f\u66f4\u4e3a\u91cd\u8981\u3002<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>\n<p class=\"f2nd_title_blue\"><strong>\u89c6\u7f51\u819c\u9759\u8109\u963b\u585e\u7684\u6cbb\u7597<\/strong><\/p>\n<p class=\"lineheight\">RVO\u7684\u6cbb\u7597\u53ef\u5206\u4e3a\u4e24\u5927\u7c7b\uff1a<\/p>\n<ol start=\"1\" type=\"1\">\n<li>\u901a\u8fc7\u6cbb\u7597\u9ec4\u6591\u6c34\u80bf\u6539\u5584\u89c6\u529b<\/li>\n<li>\u9884\u9632\u9752\u5149\u773c\uff08\u773c\u538b\u5347\u9ad8\uff09\u548c\u773c\u90e8\u51fa\u8840\u7b49\u5e76\u53d1\u75c7<\/li>\n<\/ol>\n<p>\u6cbb\u7597RVO\u7684\u4e24\u79cd\u4e3b\u8981\u65b9\u6cd5\u662f\u5728\u89c6\u7f51\u819c\u4e0a\u4f7f\u7528\u6fc0\u5149\uff0c\u4ee5\u53ca\u5c06\u836f\u7269\u6ce8\u5c04\u5230\u773c\u4e2d\u3002<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<\/tr>\n<tr>\n<td>\n<p class=\"f2nd_title_blue\"><strong>\u89c6\u7f51\u819c\u9759\u8109\u963b\u585e\u4e2d\u9ec4\u6591\u6c34\u80bf\u7684\u6cbb\u7597<\/strong><\/p>\n<p class=\"lineheight\">\u9ec4\u6591\u6c34\u80bf\uff08\u89c6\u7f51\u819c\u5185\u5c42\u4e2d\u7684\u6db2\u4f53\uff09\u662fRVO\u89c6\u529b\u4e27\u5931\u7684\u4e3b\u8981\u539f\u56e0\u3002\u9ec4\u6591\u662f\u89c6\u7f51\u819c\u6700\u91cd\u8981\u7684\u90e8\u5206\uff0c\u56e0\u4e3a\u5b83\u53ef\u4ee5\u68c0\u6d4b\u5230\u7cbe\u7ec6\u7684\u7ec6\u8282\u548c\u989c\u8272\u3002\u5728\u4ee5\u524d\uff0c\u6fc0\u5149\u6cbb\u7597\u4e3b\u662f\u5728\u6c34\u80bf\u7684\u89c6\u7f51\u819c\u533a\u57df\u3002\u4f46\u5bf9\u4e8e\u89c6\u7f51\u819c\u4e2d\u592e\u9759\u8109\u963b\u585e\uff08CRVO\uff09\u7684\u60a3\u8005\uff0c\u6cbb\u7597\u5e76\u65e0\u6548\u7684\u3002\u800c\u5bf9\u4e8e\u89c6\u7f51\u819c\u5206\u652f\u9759\u8109\u963b\u585e\uff08BRVO\uff09\u7684\u60a3\u8005\uff0c\u6fc0\u5149\u6cbb\u7597\u7684\u76ca\u5904\u76f8\u5f53\u6709\u9650\u3002<\/p>\n<p class=\"lineheight\">\u6700\u8fd1\uff0c\u6839\u636e\u6700\u65b0\u7684\u79d1\u5b66\u6570\u636e\uff0c\u836f\u7269\u53ef\u80fd\u6bd4\u6fc0\u5149\u6cbb\u7597\u5bf9RVO\u4e2d\u7684\u9ec4\u6591\u6c34\u80bf\u66f4\u6709\u6548\u3002\u8fd9\u4e9b\u836f\u7269\u9700\u6ce8\u5c04\u5230\u773c\u4e2d\uff0c\u5982\u66f2\u5b89\u897f\u9f99\uff0cOzurdex\uff08\u957f\u671f\u7c7b\u56fa\u9187\u690d\u5165\u7269\uff09\u548cLucentis\uff08\u6297\u8840\u7ba1\u5185\u76ae\u751f\u957f\u56e0\u5b50\uff08VEGF\uff09\u7684\u6297\u4f53\uff09\u3002\u773c\u90e8\u6ce8\u5c04\u7684\u611f\u67d3\u98ce\u9669\u662f\u5f88\u5c11\u89c1\u7684\uff0c\u5982\u57282000\u6b21\u6ce8\u5c04\u4e2d\u4ec5\u53d1\u751f1\u6b21\u3002\u773c\u90e8\u611f\u67d3\u4e5f\u53ef\u4ee5\u7528\u6297\u751f\u7d20\u6cbb\u7597\u3002\u53ea\u6709\u5728\u6781\u5c11\u6570\u60c5\u51b5\u4e0b\u7684\u4e25\u91cd\u611f\u67d3\u4f1a\u9020\u6210\u89c6\u529b\u4e27\u5931\u3002<\/p>\n<p class=\"lineheight\"><em>1. \u73bb\u7483\u4f53\u5185\u6ce8\u5c04\u66f2\u5b89\u5948\u5fb7\uff08IVTA\uff09<br \/>\n<\/em><\/p>\n<p class=\"lineheight\">\u66f2\u5b89\u5948\u5fb7\u662f\u4e00\u79cd\u7c7b\u56fa\u9187\u836f\u7269\uff0c\u5e38\u88ab\u7528\u4e8e\u6ce8\u5c04\u5165\u5173\u8282\u708e\u60a3\u8005\u7684\u9aa8\u5173\u8282\u3002\u6765\u81ea\u7f8e\u56fd\u5927\u578b\u7814\u7a76\uff08SCORE\u7814\u7a76\uff09\u62a5\u544a\u663e\u793a\u5728\u4e00\u5e74\u540e\u7684\u8ddf\u8fdb\u4e2d\uff0cIVTA\u5bf9CRVO\u60a3\u8005\u7684\u9ec4\u6591\u6c34\u80bf\u4f9d\u7136\u6709\u6548\u3002BRVO\u60a3\u8005\u7684\u9ec4\u6591\u6c34\u80bf\u5219\u4e0e\u6fc0\u5149\u6cbb\u7597\u4e00\u6837\u3002\u4e00\u4e9b\u60a3\u8005\u57284\u4e2a\u6708\u540e\u9700\u8981\u91cd\u590d\u6ce8\u5c04\u3002\u8fd9\u79cd\u6cbb\u7597\u7684\u4e3b\u8981\u95ee\u9898\u662f\uff0c\u63a5\u53d7\u6cbb\u7597\u7684\u60a3\u8005\u4e2d\u670930\uff05\u4ee5\u4e0a\u4f1a\u51fa\u73b0\u767d\u5185\u969c\u548c\u9752\u5149\u773c\uff08\u773c\u538b\u5347\u9ad8\uff09\u800c\u9700\u8981\u8fdb\u4e00\u6b65\u6cbb\u7597\u3002\u5728\u8fc7\u53bb\u7684\u516b\u5e74\u4e2d\uff0cIVTA\u5df2\u5728\u4e16\u754c\u8303\u56f4\u5185\u5e7f\u6cdb\u7528\u4e8e\u5176\u4ed6\u89c6\u7f51\u819c\u75be\u75c5\uff0c\u4f8b\u5982\u7cd6\u5c3f\u75c5\u6027\u9ec4\u6591\u75c5\u53d8\u3002<\/p>\n<p class=\"lineheight\"><em>2. \u73bb\u7483\u4f53\u5185\u957f\u671f\u6ce8\u5c04\u7c7b\u56fa\u9187\u690d\u5165\u7269\uff08Ozurdex\uff09<br \/>\n<\/em><\/p>\n<p class=\"lineheight\">Ozurdex\u662f\u4e00\u79cd\u7279\u6b8a\u7684\u690d\u5165\u7269\uff0c\u5176\u4e2d\u5305\u542b\u5730\u585e\u7c73\u677e\uff08\u4e00\u79cd\u7c7b\u56fa\u9187\u836f\u7269\uff09\u3002\u4e00\u65e6\u6ce8\u5165\u773c\u775b\uff0c\u5b83\u4f1a\u57286\u4e2a\u6708\u5185\u9010\u6e10\u91ca\u653e\u836f\u7269\u3002\u5b83\u6700\u8fd1\u5df2\u83b7\u51c6\u5728\u7f8e\u56fd\u4f7f\u7528\uff0c\u4f46\u5728\u9a6c\u6765\u897f\u4e9a\u5c1a\u672a\u83b7\u5f97\u6279\u51c6\u3002\u6cbb\u7597\u7ed3\u679c\u663e\u793a CRVO\u6216BRVO\u6240\u5f15\u8d77\u7684\u9ec4\u6591\u6c34\u80bf\u60a3\u8005\u5728\u8be5\u6cbb\u7597\u540e\u5747\u6709\u89c6\u529b\u7684\u6539\u5584\u3002\u5c31\u526f\u4f5c\u7528\u800c\u8a00\uff0c\u4e0eIVTA\u6cbb\u7597\u76f8\u6bd4\uff0c\u670925\uff05\u7684\u60a3\u8005\u53d1\u5c55\u4e3a\u9752\u5149\u773c\uff0c\u800c\u767d\u5185\u969c\u7684\u60a3\u8005\u5219\u8f83\u5c11\uff084\uff05\uff09\u3002<\/p>\n<p class=\"lineheight\"><em>3. \u73bb\u7483\u4f53\u5185\u6ce8\u5c04\u96f7\u73e0\u5355\u6297\uff08Lucentis\uff09<br \/>\n<\/em><\/p>\n<p class=\"lineheight\">\u5728RVO\u4e2d\uff0c\u79f0\u4e3a\u8840\u7ba1\u5185\u76ae\u751f\u957f\u56e0\u5b50\uff08VEGF\uff09\u7684\u7279\u5b9a\u751f\u957f\u56e0\u5b50\u7684\u6c34\u5e73\u589e\u52a0 \u3002VEGF\u5f15\u53d1\u4e86\u9ec4\u6591\u6c34\u80bf\uff0c\u6240\u4ee5\u9700\u5f00\u53d1\u7279\u6b8a\u7684\u65b0\u6297\u4f53\u836f\u7269\u6765\u963b\u7f13\u8be5\u5206\u5b50\u3002Lucentis\u662f\u4e00\u79cdVEGF\u6297\u4f53\uff0c\u4e13\u7528\u4e8e\u6cbb\u7597\u53e6\u4e00\u79cd\u5e38\u89c1\u7684\u773c\u90e8\u75be\u75c5\uff0c\u8001\u5e74\u9ec4\u6591\u75c5\u53d8\u3002<\/p>\n<p class=\"lineheight\">\u6700\u8fd1\uff0c\u7f8e\u56fd\u4e24\u9879\u5927\u578b\u7814\u7a76\uff08CRUISE\u548cBRAVO\u8bd5\u9a8c\uff09\u62a5\u544a\u4e86Lucentis\u4e0e\u6fc0\u5149\u7597\u6cd5\u76f8\u6bd4\u5728CRVO\u548cBRVO\u4e2d\u6cbb\u7597\u9ec4\u6591\u6c34\u80bf\u7684\u6709\u6548\u6027\u3002\u60a3\u8005\u6bcf\u6708\u63a5\u53d7\u6cbb\u7597\uff0c\u6301\u7eed6\u4e2a\u6708\u3002\u5728\u9996\u6b21\u6ce8\u5c04\u540e1\u5468\uff0c\u60a3\u8005\u89c6\u529b\u8fc5\u901f\u6539\u5584\uff0c\u5e76\u7ef4\u63016\u4e2a\u6708\u3002Lucentis\u6cbb\u7597\u7ec4\u7684\u89c6\u89c9\u6539\u5584\u6bd4\u6fc0\u5149\u6cbb\u7597\u7ec4\u66f4\u4f73\uff0c\u63a5\u53d7Lucentis\u6ce8\u5c04\u7684\u60a3\u8005\u83b7\u5f97\u663e\u7740\u6539\u5584\u7684\u53ef\u80fd\u6027\u662f\u63a5\u53d7\u6fc0\u5149\u6cbb\u7597\u7684\u60a3\u8005\u7684\u4e24\u500d\u3002Lucentis\u6cbb\u7597\u7684\u60a3\u8005\u4e2d\u51e0\u4e4e\u6ca1\u6709\u53d1\u751f\u526f\u4f5c\u7528\u3002<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"center\"><\/td>\n<\/tr>\n<tr>\n<td 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