摘要
目的比较外伤性黄斑孔手术治疗与药物保守治疗的临床效果。
方法回顾性分析外伤性黄斑孔56例（56只眼）。其中30例为手术组，采用玻璃体切除联合内界膜剥除及全氟丙烷（C3F8）气体填充术治疗；同期26例为对照组，采用药物保守治疗。对两组患者治疗前后视力及治疗后黄斑孔闭合情况进行比较。
结果随访3～6个月，平均（4.6±0.5）个月。至末次随访，手术组黄斑孔闭合26例（86.7%），视力改善15例（50.0%）；对照组则分别为11例（39.3%）和12例（46.2%）。手术组孔闭合率优于保守组（χ2＝10.327，P＝0.001） 。但二者术后视力改善的差异无统计学意义。
结论手术治疗有助于提高外伤性黄斑孔的闭合率，但改善视力效果有限。
Objective To compare the clinical efficacy of surgical and conservative therapy in patients with traumatic macular hole. Methods The data of 56 eyes of 56 cases with traumatic macular hole were retrospectively analysed. Thirty cases were rondomly selected as surgical group, and treated with vitrectomy, internal limiting membrane peeling and C3Fs gas tamponade. Twenty-six cases of the same period were used as control group, and treated with conservative therapy. The visual acuity and macular hole diameter after treatment between the two groups were compared and analyzed. Results All patients were followed up for 3-6 months, average （4.6±0.5）. The hole closed in 26 cases （86.7%）, visual acuity improved in 15 cases （50%） at the last follow-up time in surgical group. The control group were 11 cases （39.3%） and 12 cases （46.2%） accordingly. The closure rate of macular hole in the surgical group was better than that of the conservative group （X2 = 10. 327 ,P =0.001 ）, but there was no significant difference in visual acuity between two groups. Conclusion Surgical treatment is helpful to improve the closure rate of traumatic macular hole, but the improvement of visual acuity is not obvious.
出处
《中华眼外伤职业眼病杂志》
2017年第3期166-168,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
黄斑孔
外伤性
手术
保守治疗
视力
Macular hole, traumatic
Surgery
Drug therapy
Visual acuity
