摘要
目的:探讨全氧丙烷(C3F8)与硅油在治疗高度近视黄斑裂孔性视网膜脱离的玻璃体手术中的疗效差异。方法:选取医院2015年2月至2016年8月收治的高度近视黄斑裂孔性视网膜脱离患者101例,均给予玻璃体手术治疗,分别应用C3F8填充(对照组50例)与硅油填充(观察组51例),对比两组患者手术效果差异。结果:对照组、观察组复位成功率分别为90.0%、92.2%,两组患者一次性视网膜复位率比较,差异无统计学意义(P>0.05);两组患者术前最小分辨角对数最佳矫正视力(Log MAR–BCVA)数值对比差异无统计学意义(P>0.05),术后两组组内对比均具有统计学意义,Log MAR–BCVA数值均下降(P<0.05),另外观察组Log MAR–BCVA明显低于对照组(P<0.05);对照组并发症发生率40.0%,观察组并发症发生率为45.1%,两组数据比较,差异具有统计学意义(P>0.05)。结论:C3F8与硅油在治疗高度近视黄斑裂孔性视网膜脱离的玻璃体手术中的疗效均较显著,但是硅油填充术后最佳矫正视力更具优势。
Objective To investigate the effect of Perfluoropropane （C3F8） and silicone oil hole crack between vitreous body retinal detachment surgery in the treatment of high myopia. Methods Fifty-one patients with high myopia macular hole retinal detachment were selected from February 2015 to August 2016. They were treated with vitrectomy and C3F8 （50 cases in the control group） and silicone oil （51 cases in the observation group） Comparison of surgical differences between the two groups of patients. Results The success rate of resetting group was 90.0 % and 92.2 % in the control group and 92.2 % respectively. There was no significant difference in the retinal reattachment rate between the two groups （P 〉 0.05）. The minimum resolution of the two groups was （P 〈 0.05）. The logMAR-BCVA values were not statistically significant （P 〉 0.05）. There was no significant difference between the two groups （P 〉 0.05）. The logMAR-BCVA values were not statistically significant （P 〉 0.05）. The incidence of complication was 40.0% in the control group and 45.1% in the observation group. The difference was statistically significant （P 〉 0.05）. Conclusion C3F8 and silicone oil in the treatment of high myopia macular hole retinal detachment of the vitreous surgery were more significant, but the silicone oil filling the best corrected visual acuity more advantages.
出处
《深圳中西医结合杂志》
2017年第14期13-15,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
