中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2009年
5期
318-320
,共3页
晁炜静%刘苏冰%戴荣平%于伟泓%张枝桥%张潇%董方田
晁煒靜%劉囌冰%戴榮平%于偉泓%張枝橋%張瀟%董方田
조위정%류소빙%대영평%우위홍%장지교%장소%동방전
高眼压%玻璃体视网膜手术%手术后并发症
高眼壓%玻璃體視網膜手術%手術後併髮癥
고안압%파리체시망막수술%수술후병발증
Intraocular pressure elevation%Vitreoretinal surgery%Postoperative complications
目的 研究玻璃体视网膜手术后早期高眼压的发生率和危险因素.方法 采用系列病例研究,回顾性分析2005年6月至2007年6月北京协和医院眼科收治的玻璃体视网膜手术患者422例(446只眼)的临床资料,应用Goldmann压平眼压计测量术前和术后早期各组患者眼压情况,眼压升高标准为≥25 mm Hg,对引起术后早期眼压升高的因素进行统计分析.结果 422例(446只眼),男190例,女232例,平均年龄(55±14)岁,术前眼压平均(14±3)mm Hg.术后2周内,共185只眼眼压升高,发生率为41%,其中术后第1天眼压升高152只眼,占早期眼压升高的82%.单纯玻璃体切割组、C3F8填充组和硅油填允组高眼压发生率分别为19%、53%和55%,硅油组和C3F8组术后眼压升高发生率均高于单纯组(P<0.01),两组比较差异无统计学意义(P>0.05).引起手术后眼压升高的危险因素有:C3F8填充(X2=37.82,P<0.01)、硅油填充(X2=27.84,P<0.01)、晶状体切除(X2=8.98,P<0.01)、眼内激光(X2=7.41,P<0.01)、糖尿病(X2=12.12,P<0.01)、年龄(X2=7.07,P<0.01).结论 玻璃体视网膜术后眼压升高是常见的并发症,其早期相关危险因素有:硅油填充、C3F8填充、晶状体切割、眼内光凝、糖尿病和高龄.
目的 研究玻璃體視網膜手術後早期高眼壓的髮生率和危險因素.方法 採用繫列病例研究,迴顧性分析2005年6月至2007年6月北京協和醫院眼科收治的玻璃體視網膜手術患者422例(446隻眼)的臨床資料,應用Goldmann壓平眼壓計測量術前和術後早期各組患者眼壓情況,眼壓升高標準為≥25 mm Hg,對引起術後早期眼壓升高的因素進行統計分析.結果 422例(446隻眼),男190例,女232例,平均年齡(55±14)歲,術前眼壓平均(14±3)mm Hg.術後2週內,共185隻眼眼壓升高,髮生率為41%,其中術後第1天眼壓升高152隻眼,佔早期眼壓升高的82%.單純玻璃體切割組、C3F8填充組和硅油填允組高眼壓髮生率分彆為19%、53%和55%,硅油組和C3F8組術後眼壓升高髮生率均高于單純組(P<0.01),兩組比較差異無統計學意義(P>0.05).引起手術後眼壓升高的危險因素有:C3F8填充(X2=37.82,P<0.01)、硅油填充(X2=27.84,P<0.01)、晶狀體切除(X2=8.98,P<0.01)、眼內激光(X2=7.41,P<0.01)、糖尿病(X2=12.12,P<0.01)、年齡(X2=7.07,P<0.01).結論 玻璃體視網膜術後眼壓升高是常見的併髮癥,其早期相關危險因素有:硅油填充、C3F8填充、晶狀體切割、眼內光凝、糖尿病和高齡.
목적 연구파리체시망막수술후조기고안압적발생솔화위험인소.방법 채용계렬병례연구,회고성분석2005년6월지2007년6월북경협화의원안과수치적파리체시망막수술환자422례(446지안)적림상자료,응용Goldmann압평안압계측량술전화술후조기각조환자안압정황,안압승고표준위≥25 mm Hg,대인기술후조기안압승고적인소진행통계분석.결과 422례(446지안),남190례,녀232례,평균년령(55±14)세,술전안압평균(14±3)mm Hg.술후2주내,공185지안안압승고,발생솔위41%,기중술후제1천안압승고152지안,점조기안압승고적82%.단순파리체절할조、C3F8전충조화규유전윤조고안압발생솔분별위19%、53%화55%,규유조화C3F8조술후안압승고발생솔균고우단순조(P<0.01),량조비교차이무통계학의의(P>0.05).인기수술후안압승고적위험인소유:C3F8전충(X2=37.82,P<0.01)、규유전충(X2=27.84,P<0.01)、정상체절제(X2=8.98,P<0.01)、안내격광(X2=7.41,P<0.01)、당뇨병(X2=12.12,P<0.01)、년령(X2=7.07,P<0.01).결론 파리체시망막술후안압승고시상견적병발증,기조기상관위험인소유:규유전충、C3F8전충、정상체절할、안내광응、당뇨병화고령.
Objective To study the incidence and risk factors of intraocular pressure (IOP) elevation in patients who underwent vitreoretinal surgery. Methods Data for 422 patients (446 eyes)who underwent vitreoretinal surgery from June 2005 to June 2007 were retrospectively analyzed, lOP was measured before surgery and on day 1,2,3,7-14 after surgery with Goldmann applanation tonometer. Ocular hypertension was defined as IOP 25mmHg or more. All factors were analyzed for association with Ocular hypertension. Results 232 of the 422 patients were female. 190 were male. The IOP was elevated significandy in 185 eyes(41% )after surgery within 2 weeks. Among them the lOP occurred mostly in day 1 ( 152 eyes , 82% ). The rate of lOP elevation with intraocular tamponade of C3F8 or silicone oil was 53 % or 55% , the difference being not statistically significant (P>0.05) . The incidence of high IOP in C3F8 injection group and silicone oil injection group were statistically higher than simple pars plana vitrectomy group( P<0.01). The risk factors of ocular hypertension include C3F8 injection (X2=37.82, P<0.01),silicone oil injection (X2= 27.84, P<0.01 ), lentectomy ( X2 = 8.98, P<0.01 ), scatter endolaser (X2 = 7.41 ,P <0.01), diabetes( X2 = 12.12, P<0.01 ) and increasing patient age (X2 = 7.07, P <0.01 ). Conclusion IOP elevation was a common complication of vitreoretinal surgery. The risk factors of ocular hypertension include C3F8 injection, silicone oil injection, lentectomy, scatter endolaser, diabetes and increasing patient age.
