摘要
目的研究前后段联合手术在玻璃体视网膜疾病合并白内障中的应用价值。方法方便选取2015年1月—2018年1月该院接诊的玻璃体视网膜疾病合并白内障患者60例(共60只患眼)为研究对象,将之利用电脑随机双盲法分成实验和对照两组,每组30例。分析两组术后视力的改善情况,并对各组的并发症发生率及末次随访时的最佳矫正视力等指标作出比较。结果实验组的视力提高率为90.00%,比对照组的73.33%高(χ^2=4.953,P<0.05)。实验组的前房炎性反应发生率为36.67%,比对照组的16.67%高(P<0.05)。实验组一过性高眼压等其他并发症的发生率同对照组比较差异无统计学意义(χ^2=0.218,P>0.05)。实验组末次随访时的最佳矫正视力为(0.69±0.16),优于对照组的(0.87±0.21)(t=3.734,P<0.05)。结论于玻璃体视网膜疾病合并白内障中合理采用前后段联合手术治疗方案,可获得比较理想的疗效,且具有术野更加清晰以及操作简便等特点,但能在一定程度上增加前房炎性反应的发生风险。
Objective To study the value of combined anterior and posterior surgery in the treatment of vitreoretinal diseases with cataract.Methods Sixty patients(60 eyes)with vitreoretinal disease and cataract who were admitted to the hospital from January 2015 to January 2018 were convenient selected and randomly divided into experimental group and control groups by computerized random double-blind method,with 30 case in each group.The improvement of postoperative visual acuity was analyzed in the two groups,and the complication rate of each group and the best corrected visual acuity at the last follow-up were compared.Results The visual acuity improvement rate of the experimental group was 90.00%,which was higher than that of the control group 73.33%(χ^2=4.953,P<0.05).The incidence of anterior chamber inflammatory reaction in the experimental group was 36.67%,which was higher than that of the control group 16.67%(P<0.05).The incidence of other complications such as transient high intraocular pressure in the experimental group was not significantly different from that in the control group.The difference was statistically significant(χ^2=0.218,P>0.05).The best corrected visual acuity at the last follow-up of the experimental group was(0.69±0.16),which was better than that of the control group(0.87±0.21)(t=3.734,P<0.05).Conclusion In the vitreoretinal disease combined with cataract,the combined use of anterior and posterior combined surgical treatment can achieve better results,with more clear and easy operation,but can increase the risk of occurrence of anterior chamber inflammatory response to some extent.
作者
任菁蓉
REN Jing-rong(Department of Ophthalmology,Dafeng People's Hospital,Yancheng,Jiangsu Province,224100 China)
出处
《中外医疗》
2019年第27期69-71,共3页
China & Foreign Medical Treatment
关键词
玻璃体视网膜疾病
前后段联合手术
白内障
前房炎性反应
Vitreoretinal disease
Combined anterior and posterior surgery
Cataract
Anterior chamber inflammatory response
