摘要
目的观察手术治疗增殖性糖尿病视网膜病变的治疗效果。方法对2007～2012年期间在焦作煤业集团中央医院眼科接受玻璃体手术治疗的增殖性糖尿病视网膜病变患者95例（116只眼）进行回顾性分析。入选病例分为3组：第1组为单纯玻璃体积血，第2组为纤维血管性增殖合并局限性视网膜脱离但未累及黄斑组，第3组为视网膜脱离累及黄斑组。对以上3组病例术前术后最佳矫正视力进行统计学分析。结果第1组术后最佳矫正视力改善率为78．9％；第2组术后最佳矫正视力改善率为80．0％；第3组手术后最佳矫正视力改善率为53．5％。第1组与第2组的视力改善情况经，检验，差异无统计学意义（P=0．911）；第3组视力改善情况与第1组、第2组比，差异有统计学意义（尸值分别为0．016、0．014）。结论在黄斑未明显受累时，玻璃体手术治疗增殖性糖尿病视网膜病变可获得较为理想的视力预后。
Objective To investigate the therapeutic effect of vitrectomy for the treatment of pro-liferative diabetic retinopathy. Methods The data of 95 cases （116 eyes） with PDR who had accept-ed vitrectomy in our hospital during 2007 and 2012 were retrospectively analyzed. The cases were divided into three groups： the patients in group one had simple vitreous hemorrhage without retinal detachment; group two with fiber vascular proliferation combined retinal detachment but uninvolved macular; group three with retinal detachment and involved macular. The above three groups of cases pre-and post-operative corrected vision was analyzed statistically. Results The improvement rate of best corrected visual acuity postoperative period in group one was 78.9%, group two 80.0%, group three 53.5%. There were no statistical differences in the best corrected visual acuity between group one and group two （P =0.911）; while significant difference between group three and group one and group two （P =0.016, 0.014）. Conclusions When the macular is not involved obviously, the pa- tients with PDR will obtain a relatively ideal visual prognosis.
出处
《中国实用眼科杂志》
CSCD
北大核心
2013年第9期1153-1154,共2页
Chinese Journal of Practical Ophthalmology
