中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
6期
677-680
,共4页
硅油填充%视网膜前膜%手术
硅油填充%視網膜前膜%手術
규유전충%시망막전막%수술
Silicone oil temponade%Epiretinal membrane%Surgery
目的 总结一定时期硅油取出术中剥除视网膜前膜的病例数,分析不同年龄、各类原始疾病、不同硅油填充时间视网膜前膜的发生率.方法 临床病例回顾性分析研究.按纳入排除标准选择2009年1月至2011年2月在北京大学第三医院眼科中心入院诊断为硅油填充眼患者作为研究对象,总结硅油取出术中视网膜前膜(或黄斑前膜)病例数,并将其按原始疾病、硅油填充时间、年龄、性别等归类,统计膜生长情况.结果 符合标准者420只眼；原发疾病中视网膜脱离占36.2％,眼外伤24.0％,增殖性糖尿病性视网膜病变22.6％,湿性黄斑变性10.5％.剥膜者229只眼(54.5％),0～14岁剥膜率38.71％,15～40岁为56.36％,41～60岁62.58％,60岁以上者为45.69％,x2值=4.05,P=0.011,差异有统计学意义(P＜0.05).视网膜脱离剥膜率为50.66％,增殖性糖尿病性视网膜病变75.79％,眼外伤为53.46％,湿性黄斑变性27.27％,x2值=9.14,P＜0.001,差异有统计学意义.≤3月剥膜率为53.6％,＞3月至≤6月为49.0％,6月以上者为64.5％,x2值=4.25,P=0.026,差异有统计学意义(P＜0.05).结论 硅油填充术后有较高的视网膜前膜生成率,膜的形成与原始疾病、硅油填充时间、患者年龄有一定关系；硅油取出术中应重视对视网膜前膜的观察和处理,提高手术成功率.
目的 總結一定時期硅油取齣術中剝除視網膜前膜的病例數,分析不同年齡、各類原始疾病、不同硅油填充時間視網膜前膜的髮生率.方法 臨床病例迴顧性分析研究.按納入排除標準選擇2009年1月至2011年2月在北京大學第三醫院眼科中心入院診斷為硅油填充眼患者作為研究對象,總結硅油取齣術中視網膜前膜(或黃斑前膜)病例數,併將其按原始疾病、硅油填充時間、年齡、性彆等歸類,統計膜生長情況.結果 符閤標準者420隻眼；原髮疾病中視網膜脫離佔36.2％,眼外傷24.0％,增殖性糖尿病性視網膜病變22.6％,濕性黃斑變性10.5％.剝膜者229隻眼(54.5％),0～14歲剝膜率38.71％,15～40歲為56.36％,41～60歲62.58％,60歲以上者為45.69％,x2值=4.05,P=0.011,差異有統計學意義(P＜0.05).視網膜脫離剝膜率為50.66％,增殖性糖尿病性視網膜病變75.79％,眼外傷為53.46％,濕性黃斑變性27.27％,x2值=9.14,P＜0.001,差異有統計學意義.≤3月剝膜率為53.6％,＞3月至≤6月為49.0％,6月以上者為64.5％,x2值=4.25,P=0.026,差異有統計學意義(P＜0.05).結論 硅油填充術後有較高的視網膜前膜生成率,膜的形成與原始疾病、硅油填充時間、患者年齡有一定關繫；硅油取齣術中應重視對視網膜前膜的觀察和處理,提高手術成功率.
목적 총결일정시기규유취출술중박제시망막전막적병례수,분석불동년령、각류원시질병、불동규유전충시간시망막전막적발생솔.방법 림상병례회고성분석연구.안납입배제표준선택2009년1월지2011년2월재북경대학제삼의원안과중심입원진단위규유전충안환자작위연구대상,총결규유취출술중시망막전막(혹황반전막)병례수,병장기안원시질병、규유전충시간、년령、성별등귀류,통계막생장정황.결과 부합표준자420지안；원발질병중시망막탈리점36.2％,안외상24.0％,증식성당뇨병성시망막병변22.6％,습성황반변성10.5％.박막자229지안(54.5％),0～14세박막솔38.71％,15～40세위56.36％,41～60세62.58％,60세이상자위45.69％,x2치=4.05,P=0.011,차이유통계학의의(P＜0.05).시망막탈리박막솔위50.66％,증식성당뇨병성시망막병변75.79％,안외상위53.46％,습성황반변성27.27％,x2치=9.14,P＜0.001,차이유통계학의의.≤3월박막솔위53.6％,＞3월지≤6월위49.0％,6월이상자위64.5％,x2치=4.25,P=0.026,차이유통계학의의(P＜0.05).결론 규유전충술후유교고적시망막전막생성솔,막적형성여원시질병、규유전충시간、환자년령유일정관계；규유취출술중응중시대시망막전막적관찰화처리,제고수술성공솔.
Objective To summarize the cases of peeling epiretinal membrane after removing silicone oil and to analyze the incidence of epiretinal membrane in different ages,initial diseases and different filling time. Methods The patients who diagnosed silicone oil tamponade by exclusion criterion in Peking university eye center between Jan 2009 and Feb 2011 were selected.The cases of epiretinal membrane in the course of removing silicone oil were summarized.The rate of them by initial diseases and filling time and ages was analyzed. Results The eyes according with criterion were 420.Retinal detachment in them was 36.2％,proliferative diabetic retinopathy and blood age-related macula degeneration was 22.6％ and 10.5％ respectively.Peeling epiretinal membrane was performed on 229 eyes.The rates of peeling membrane were 38.71％,56.36％,62.58％ and 45.69％ in different ages respectively The difference had statistics significance (P=0.011).In different diseases the rates were 50.66％,75.79％ and 27.27％ respectively.The difference also had statistics significance (P ＜ 0.001).In different time the rates of peeling membrane were 53.6％,49.0％ and 64.5％respectively,they also had statistics significance (P=0.026). Conclusions The silicone oil tamponade has high incidence of epiretinal membrane.It is related with initial diseases,silicone oil filling times and ages.In the operation of the silicone oil removal the treatment of the epiretinal membrane should be considered to improve the success rate.
