中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
10期
1468-1469
,共2页
超声乳化术%增生性,糖尿病,视网膜病变%玻璃体切除术%晶状体切除术%虹膜新生血管
超聲乳化術%增生性,糖尿病,視網膜病變%玻璃體切除術%晶狀體切除術%虹膜新生血管
초성유화술%증생성,당뇨병,시망막병변%파리체절제술%정상체절제술%홍막신생혈관
Phacoemusification%Proliferative,diabetic retinophathy%Vitrectomy%Lensectomy%Iris neovascularization
目的 比较两种手术方式治疗增生性糖尿病视网膜病变(PDR)合并白内障的疗效.方法 79例PDR合并白内障患者,按手术方法不同分为超声乳化+玻璃体切除组(A组)41例(52眼)和晶体切除+玻璃体切除组(B组)38例(48眼).观察常规眼压、虹膜新生血管( INV)、眼底荧光造影的变化.结果 A组术后视力提高为42眼(80.0％),明显高于B组的30眼(62.5％)(x2=4.26,P＜0.05)；A组术后虹膜新生血管发生率3.8％,明显低于B组的12.5％(x2=4.02,P＜0.05)1；两组黄斑水肿发生及术后眼底荧光造影检查结果差异无统计学意义(x2 =2.02,2.58,均P＞0.05).结论 白内障超声乳化联合玻璃体切除术治疗PDR合并白内障的效果优于后路晶体切除联合玻璃体切除术.
目的 比較兩種手術方式治療增生性糖尿病視網膜病變(PDR)閤併白內障的療效.方法 79例PDR閤併白內障患者,按手術方法不同分為超聲乳化+玻璃體切除組(A組)41例(52眼)和晶體切除+玻璃體切除組(B組)38例(48眼).觀察常規眼壓、虹膜新生血管( INV)、眼底熒光造影的變化.結果 A組術後視力提高為42眼(80.0％),明顯高于B組的30眼(62.5％)(x2=4.26,P＜0.05)；A組術後虹膜新生血管髮生率3.8％,明顯低于B組的12.5％(x2=4.02,P＜0.05)1；兩組黃斑水腫髮生及術後眼底熒光造影檢查結果差異無統計學意義(x2 =2.02,2.58,均P＞0.05).結論 白內障超聲乳化聯閤玻璃體切除術治療PDR閤併白內障的效果優于後路晶體切除聯閤玻璃體切除術.
목적 비교량충수술방식치료증생성당뇨병시망막병변(PDR)합병백내장적료효.방법 79례PDR합병백내장환자,안수술방법불동분위초성유화+파리체절제조(A조)41례(52안)화정체절제+파리체절제조(B조)38례(48안).관찰상규안압、홍막신생혈관( INV)、안저형광조영적변화.결과 A조술후시력제고위42안(80.0％),명현고우B조적30안(62.5％)(x2=4.26,P＜0.05)；A조술후홍막신생혈관발생솔3.8％,명현저우B조적12.5％(x2=4.02,P＜0.05)1；량조황반수종발생급술후안저형광조영검사결과차이무통계학의의(x2 =2.02,2.58,균P＞0.05).결론 백내장초성유화연합파리체절제술치료PDR합병백내장적효과우우후로정체절제연합파리체절제술.
Objective To compare the effects of two treatmnent methods in the treatment of proliferative diabetic retinopathy (PDR) patients with cataract.Methods 79 PDR patients with cataract,according to the different surgical methods were divided into:phacoemulsification with lensectomy of 41 cases(52 eyes) in Group A and crystal resection with lensectomy of 38 cases(48 eyes) in Group B.The changes of eye pressure,iris neovascularization (INV),fundus fluorescein angiography were observed.Results The visual acuity increased in 42cases (80.0％)postoperative in group A,which was significantly higher than that of group B [ 30 cases(62.5％ ) ] (x2 =4.26,P ＜ 0.05) ;The incidence of INN was 3.8 ％ in Group A,which was significantly lower than that of Group B (12.5％ )( x2=4.02,P ＜ 0.05 ) ;The macular edema and postoperative fundus fluorescein angiography showed no significant difference in two groups ( x2 =2.02,2.58,all P ＞ 0.05 ).Conclusion The effect of phacoemulsification with vitrectomy for the treatment of PDR with cataract was superior to the posterior lens removal of vitrectomy surgery.
