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
1350-1353
,共4页
王娟%陈松%张珑俐%赵秉水%李燕
王娟%陳鬆%張瓏俐%趙秉水%李燕
왕연%진송%장롱리%조병수%리연
糖尿病视网膜病变%玻璃体视网膜手术%白内障手术%并发症
糖尿病視網膜病變%玻璃體視網膜手術%白內障手術%併髮癥
당뇨병시망막병변%파리체시망막수술%백내장수술%병발증
Diabetic retinopathy%Vitreoretinal surgery%Cataract surgery%Complications
目的 探讨晶状体摘除对糖尿病视网膜病变(diabetic retinopathy,DR)玻璃体视网膜手术(vitreoretinal surgery,VRS)效果的影响.方法 回顾性分析2001年2月至2007年8月行VRS的68例(80只眼),比较摘除晶状体眼同人工晶状体眼与保留晶状体眼的手术效果,随访5～63个月,平均(12.24±9.13)月.结果 术后87.27%的保留晶状体眼及68%的摘除晶状体眼视力提高或不变(x2=4.191,P=0.062);再次VRS率在保留晶状体组为12.7%,摘除晶状体组20%(x2=0.713.P=0.502);解剖复位率在保留和摘除晶状体眼分别为92.73%和96%(x2=0.314,P=1.000);保留晶状体组和摘除晶状体组各2只眼发生虹膜红变(x2=689,P=0.585),差异均无统计学意义.术后摘除晶状体组前房纤维素性渗出和黄斑水肿的发生率较保留晶状体组增加,差异有统计学意义(P<0.05).结论 晶状体摘除并不增加DR再次VRS率和虹膜红变的发生率,但术后前房纤维素性渗出和黄斑水肿的发生率增加.
目的 探討晶狀體摘除對糖尿病視網膜病變(diabetic retinopathy,DR)玻璃體視網膜手術(vitreoretinal surgery,VRS)效果的影響.方法 迴顧性分析2001年2月至2007年8月行VRS的68例(80隻眼),比較摘除晶狀體眼同人工晶狀體眼與保留晶狀體眼的手術效果,隨訪5～63箇月,平均(12.24±9.13)月.結果 術後87.27%的保留晶狀體眼及68%的摘除晶狀體眼視力提高或不變(x2=4.191,P=0.062);再次VRS率在保留晶狀體組為12.7%,摘除晶狀體組20%(x2=0.713.P=0.502);解剖複位率在保留和摘除晶狀體眼分彆為92.73%和96%(x2=0.314,P=1.000);保留晶狀體組和摘除晶狀體組各2隻眼髮生虹膜紅變(x2=689,P=0.585),差異均無統計學意義.術後摘除晶狀體組前房纖維素性滲齣和黃斑水腫的髮生率較保留晶狀體組增加,差異有統計學意義(P<0.05).結論 晶狀體摘除併不增加DR再次VRS率和虹膜紅變的髮生率,但術後前房纖維素性滲齣和黃斑水腫的髮生率增加.
목적 탐토정상체적제대당뇨병시망막병변(diabetic retinopathy,DR)파리체시망막수술(vitreoretinal surgery,VRS)효과적영향.방법 회고성분석2001년2월지2007년8월행VRS적68례(80지안),비교적제정상체안동인공정상체안여보류정상체안적수술효과,수방5～63개월,평균(12.24±9.13)월.결과 술후87.27%적보류정상체안급68%적적제정상체안시력제고혹불변(x2=4.191,P=0.062);재차VRS솔재보류정상체조위12.7%,적제정상체조20%(x2=0.713.P=0.502);해부복위솔재보류화적제정상체안분별위92.73%화96%(x2=0.314,P=1.000);보류정상체조화적제정상체조각2지안발생홍막홍변(x2=689,P=0.585),차이균무통계학의의.술후적제정상체조전방섬유소성삼출화황반수종적발생솔교보류정상체조증가,차이유통계학의의(P<0.05).결론 정상체적제병불증가DR재차VRS솔화홍막홍변적발생솔,단술후전방섬유소성삼출화황반수종적발생솔증가.
Objective To investigate outcomes of lens extraction during the vireoretinai surgery (VRS)for diabetic retinopathy.Methods 80 eyes from 68 cases of diabetic retinopathy accepted VRS from February 2001 to August 2007.The eyes remained phakic after VRS were compared with the eyes that were either aphakic or pseudophakic (nonphakic)postoperatively.The average follow-up time was (12.24±9.13). months.Results Visual acuity kept stable or improved in 87.3% of the phakic eyes and 72% of the nonphakic eyes (x2=4.191 ,P=0.062).The reattachment rate are 92.73% and 96% in the phakic and nonphakic groups separately (x2=0.314,P=1.000).Rubeosis iridis developed in 2 phakic eyes and two nonphakic in the phakic and nonphakic groups (x2=4.513, P=0.095).The rates of fibrous exudation of anterior chamber and macular edema were higher in nonphakic group than in phakic group(P<0.05).Conclusions Lens extraction does not influence the outcomes of diabetic 1 vitreoretinal surgery, and there are no significant difference in vitreoretinal reoperation rate and the outcomes of anatomy and visual acuity between the two groups.
