中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2008年
12期
1361-1364
,共4页
于华香%陈松%张珑俐%赵秉水%李燕
于華香%陳鬆%張瓏俐%趙秉水%李燕
우화향%진송%장롱리%조병수%리연
玻璃体视网膜手术%眼外伤%视网膜脱离
玻璃體視網膜手術%眼外傷%視網膜脫離
파리체시망막수술%안외상%시망막탈리
Vitreoretinal surgery%Severe ocular injury%Retinal detachment
目的 观察玻璃体视网膜手术(vitreoretinal surgery,VRS)治疗复杂性外伤性视网膜脱离(retinal detachment,RD)的长期临床效果.方法 回顾性分析1999年3月至2006年12月收治的复杂性外伤性RD患者97例98只眼,行VRS联合过氟化碳液体、视网膜切开和硅油填充术等,观察术后随访视力,解剖复位等情况.结果 术后随诊8.5～84个月(平均23.5个月),末次随诊时3只眼失访,74只眼术后视力均有不同程度提高(75.51%).术前与末次随诊视力比较,差异有统计学意义(x2=25.51,P<0.05).末次随访时视力恢复至0.1及以上23只眼(23.47%),92只眼(93.88%)解剖复位,其中71只眼(72.45%)1次VRS手术后痊愈,21只眼在VRS后因出现视网膜前膜、复发RD或裂孔.于术后6～14周分别再次行VRS、巩膜扣带术(scleral buckling surgery,SBS)联合激光等2～4次手术.硅油取出60只眼,取油时间0.5～11个月,平均5.11个月.结论 VRS手术对外伤眼的解剖重建及功能恢复起着重要作用.通过长期的临床观察,视力稳定或提高,视网膜复位较好.
目的 觀察玻璃體視網膜手術(vitreoretinal surgery,VRS)治療複雜性外傷性視網膜脫離(retinal detachment,RD)的長期臨床效果.方法 迴顧性分析1999年3月至2006年12月收治的複雜性外傷性RD患者97例98隻眼,行VRS聯閤過氟化碳液體、視網膜切開和硅油填充術等,觀察術後隨訪視力,解剖複位等情況.結果 術後隨診8.5～84箇月(平均23.5箇月),末次隨診時3隻眼失訪,74隻眼術後視力均有不同程度提高(75.51%).術前與末次隨診視力比較,差異有統計學意義(x2=25.51,P<0.05).末次隨訪時視力恢複至0.1及以上23隻眼(23.47%),92隻眼(93.88%)解剖複位,其中71隻眼(72.45%)1次VRS手術後痊愈,21隻眼在VRS後因齣現視網膜前膜、複髮RD或裂孔.于術後6～14週分彆再次行VRS、鞏膜釦帶術(scleral buckling surgery,SBS)聯閤激光等2～4次手術.硅油取齣60隻眼,取油時間0.5～11箇月,平均5.11箇月.結論 VRS手術對外傷眼的解剖重建及功能恢複起著重要作用.通過長期的臨床觀察,視力穩定或提高,視網膜複位較好.
목적 관찰파리체시망막수술(vitreoretinal surgery,VRS)치료복잡성외상성시망막탈리(retinal detachment,RD)적장기림상효과.방법 회고성분석1999년3월지2006년12월수치적복잡성외상성RD환자97례98지안,행VRS연합과불화탄액체、시망막절개화규유전충술등,관찰술후수방시력,해부복위등정황.결과 술후수진8.5～84개월(평균23.5개월),말차수진시3지안실방,74지안술후시력균유불동정도제고(75.51%).술전여말차수진시력비교,차이유통계학의의(x2=25.51,P<0.05).말차수방시시력회복지0.1급이상23지안(23.47%),92지안(93.88%)해부복위,기중71지안(72.45%)1차VRS수술후전유,21지안재VRS후인출현시망막전막、복발RD혹렬공.우술후6～14주분별재차행VRS、공막구대술(scleral buckling surgery,SBS)연합격광등2～4차수술.규유취출60지안,취유시간0.5～11개월,평균5.11개월.결론 VRS수술대외상안적해부중건급공능회복기착중요작용.통과장기적림상관찰,시력은정혹제고,시망막복위교호.
Objective To observe the long-term clinical outcomes of complicated traumatic retinal detachment treated with vitreoretinal surgery. Method Between March 1999 and December 2006, consecutive cases of 98 eyes (97 patients)with complicated traumatic retinal detachment had undergone VRS with perfluo-rocarbon liquid, retinal section and silicone oil etc,postoperative visual acutiy ,anatomic success and others were retrospectively observed.Results The follow-up 8.5 to 84 months,at the end,3 eyes were not follow-up. Visual acutiy improved in 74 eyes (75.51%),final visual acutiy was better than preoperative (x2=25.51 P<0.05), 23 eyes were more than 0.1.92 eyes(93.88%)were attached 1 successfully, 71 eyes(72.45%)were cured after primary VRS, during 6 to 14 weeks postoperative, 21 eyes had undergone VRS, SBS and the laser for two to four times respectively due to retinal membranes, the recurrence RD or a hole, 60 eyes had silicone oil re-moved, 0.5-11 month (average 5.11)postoperative.Conclusion VRS can rebuild eye bail, make retinal reat-tached, and improve visual acutiy.
