摘要
目的研究25+微创玻璃体视网膜手术治疗孔源性视网膜脱离的临床效果。方法回顾性分析孔源性视网膜脱离患者52例(52眼),治疗组(n=26)行25+微创玻璃体视网膜手术,对照组(n=26)行23G微创玻璃体视网膜手术。分析两组患者手术时间、术后视力、眼压、并发症和视网膜复位情况。结果与对照组比较,治疗组手术时间缩短(P<0.05);术后3 d及术后7 d,两组患者眼压较术前均升高,最佳矫正视力的最小分辨角对数均降低(P<0.05);术中治疗组并发症发生率(15.38%)低于对照组(42.31%)(P<0.05);术后治疗组低眼压发生率(3.85%)低于对照组(30.77%)(P<0.05);治疗组视网膜复位率(92.31%)与对照组(88.46%)比较差异无统计学意义(P>0.05)。结论 25+与23G微创玻璃体视网膜手术治疗孔源性视网膜脱离的临床效果相当,但25+微创玻璃体视网膜手术能有效减少术中并发症及术后低眼压的发生,具有更高的安全性。
Objective To investigate the clinical effect of 25-gauge minimally invasive vitrectomy for treatment of rheg- matogenous retinal detachment. Methods This was a retrospective analysis of 52 patients with retinal detachment trea- ted in our hospital. Patients were divided into treatment and control groups （n= 26 each）. The treatment group was trea- ted with 25＋ minimally invasive vitrectomy, and the control group was treated with 23G minimally invasive vitrectomy. The two groups were followed up for at least 3 months. The following parameters were evaluated ： duration of the proce- dure, postoperative visual acuity, intraocular pressure, complications, and retinal restoration. Results The duration of the procedure in the treatment group was significantly shorter than that in the control group （P〈0.05）. Three and seven days following the operation, the intraocular pressure in both groups increased significantly. The postoperative logarithm of the minimum angle of resolution（LogMAR） visual acuity was significantly lower than the preoperative value （ P〈0. 05 ）. The incidence rate of complications in the treatment group was 15.38%, which was significantly lower than that in the control group （42.31%; P〈 0.05）. The incidence rate of intraocular hypotension in the treatment group （3.85%） was significantly lower than that in the control group （30.77%） （P〈0.05）. There were no statistically significant differ- ences in the retinal replacement rates between the treatment and control groups （92.31% and 88.46%, respectively; P〉 0.05）. Conclusion Both 25-gauge and 23G minimally invasive vitrectomy have similar effectiveness in the treatment of rhegmatogenous retinal detachment, but the former is safer and is associated with a lower risk of postoperative com- plications and intraocular hypotension.
作者
周学义
李一鸣
王美菊
张苑苑
张历浊
ZHOU Xueyi LI Yiming WANG Meiju ZHANG Yuanyuan ZHANG Lizhuo(Qinhuangdao Shiguang Eye Hospital, Qinhuangdao 066000, Hebei, Chin)
出处
《山东大学耳鼻喉眼学报》
CAS
2017年第5期92-94,100,共4页
Journal of Otolaryngology and Ophthalmology of Shandong University
基金
秦皇岛市科学技术研究与发展计划(201502A083)
关键词
孔源性视网膜脱离
玻璃体视网膜手术
25+
23G
低眼压
疗效
Ruptural detachment of retina
Vitreoretinal surgery
25＋
23G
Intraocular hypotension
Clinical effect
