中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
3期
285-287
,共3页
梁勇%黎晓新%姜燕荣%赵明威
樑勇%黎曉新%薑燕榮%趙明威
량용%려효신%강연영%조명위
特发性黄斑裂孔%玻璃体切割术%白内障手术
特髮性黃斑裂孔%玻璃體切割術%白內障手術
특발성황반렬공%파리체절할술%백내장수술
Idiopathic macular hole%Vitrectomy%Cataract surgery
目的 评价黄斑裂孔手术联合或不联合白内障手术治疗特发性黄斑裂孔合并早期白内障的疗效,探讨联合白内障手术的意义.方法 对2004年1月至2008年12月接受手术治疗的特发性黄斑裂孔合并早期白内障的90例患者进行回顾性分析,其中41例患者一期手术仅行单纯黄斑裂孔手术(单纯黄斑孔手术组),49例患者一期行黄斑孔手术联合白内障摘除(联合手术组).记录单纯黄斑孔手术组术后白内障进展情况以及两组患者术前、术后最佳矫正视力、裂孔闭合情况以及住院治疗的总费用.结果 单纯黄斑孔手术组41例患者中,38例(92.7%)在术后随访过程中发现白内障核混浊明显加重,其中18例(43.9%)患者行二期白内障手术.两组患者术前最佳矫正视力分布无明显差异,术后两组患者视力均有不同程度提高,但最佳矫正视力分布无明显差异.两组黄斑裂孔闭合率的差异无统计学意义(P>0.05).单纯黄斑孔手术组已行二期白内障手术患者两次住院治疗的总费用高于联合手术组住院总费用,差异有统计学意义(P<0.05).结论 特发性黄斑裂孔手术采用联合白内障手术与否均可得到相似的视力预后,但联合手术可使患者避免二次手术的痛苦,减少手术成本.
目的 評價黃斑裂孔手術聯閤或不聯閤白內障手術治療特髮性黃斑裂孔閤併早期白內障的療效,探討聯閤白內障手術的意義.方法 對2004年1月至2008年12月接受手術治療的特髮性黃斑裂孔閤併早期白內障的90例患者進行迴顧性分析,其中41例患者一期手術僅行單純黃斑裂孔手術(單純黃斑孔手術組),49例患者一期行黃斑孔手術聯閤白內障摘除(聯閤手術組).記錄單純黃斑孔手術組術後白內障進展情況以及兩組患者術前、術後最佳矯正視力、裂孔閉閤情況以及住院治療的總費用.結果 單純黃斑孔手術組41例患者中,38例(92.7%)在術後隨訪過程中髮現白內障覈混濁明顯加重,其中18例(43.9%)患者行二期白內障手術.兩組患者術前最佳矯正視力分佈無明顯差異,術後兩組患者視力均有不同程度提高,但最佳矯正視力分佈無明顯差異.兩組黃斑裂孔閉閤率的差異無統計學意義(P>0.05).單純黃斑孔手術組已行二期白內障手術患者兩次住院治療的總費用高于聯閤手術組住院總費用,差異有統計學意義(P<0.05).結論 特髮性黃斑裂孔手術採用聯閤白內障手術與否均可得到相似的視力預後,但聯閤手術可使患者避免二次手術的痛苦,減少手術成本.
목적 평개황반렬공수술연합혹불연합백내장수술치료특발성황반렬공합병조기백내장적료효,탐토연합백내장수술적의의.방법 대2004년1월지2008년12월접수수술치료적특발성황반렬공합병조기백내장적90례환자진행회고성분석,기중41례환자일기수술부행단순황반렬공수술(단순황반공수술조),49례환자일기행황반공수술연합백내장적제(연합수술조).기록단순황반공수술조술후백내장진전정황이급량조환자술전、술후최가교정시력、렬공폐합정황이급주원치료적총비용.결과 단순황반공수술조41례환자중,38례(92.7%)재술후수방과정중발현백내장핵혼탁명현가중,기중18례(43.9%)환자행이기백내장수술.량조환자술전최가교정시력분포무명현차이,술후량조환자시력균유불동정도제고,단최가교정시력분포무명현차이.량조황반렬공폐합솔적차이무통계학의의(P>0.05).단순황반공수술조이행이기백내장수술환자량차주원치료적총비용고우연합수술조주원총비용,차이유통계학의의(P<0.05).결론 특발성황반렬공수술채용연합백내장수술여부균가득도상사적시력예후,단연합수술가사환자피면이차수술적통고,감소수술성본.
Objective To evaluate the functional and the anatomic outcomes of combined and uncombined surgeries for the treatment of concurrent idiopathic macular hole and early cataract,and to discuss the significance of the combined surgery. Methods Retrospective clinical study.Ninety patients (90 eyes) with an idiopathic macular hole and early cataract were operated between January 2004 and December 2008.Among them 41 eyes underwent macular hole surgery in stage Ⅰ (the uncombined group) and 49 eyes underwent macular hole surgery and cataract surgery in stage Ⅰ (the combined group).The data collected included the cataract progression in the uncombined group,the preoperative and postoperative best-corrected visual acuity,the rate of closure of macular hole and the total cost of surgery in two groups. Results In the uncombined group,nuclear cataract progress distinctly in 38 eyes (92.7%) and 18 eyes (43.9%) underwent cataract surgery during the follow-up.The preoperative and postoperative best-corrected visual acuity,the rate of closure did not differ significantly between the combined group and the uncombined group.The total cost of the patients in the combined group was lower than that in the patients who underwent macular hole surgery and cataract surgery separately (t =10.66,P =0.000). Conclusions The visual outcome of combined surgery is equivalent to uncombined surgerY.However,combined surgery avoids a second surgery and reduces overall surgical cost.