CAJ | 학술논문

目的综合评价23 G玻璃体手术与传统的20 G玻璃体手术术中和术后发生视网膜脱离并发症的差异。方法使用Cochrane协作网提供的RevMan 5.1统计软件进行Meta分析，以获得两者视网膜脱离发生是否有差异。结果23 G组与20 G组发生视网膜脱离并发症的比值比为0.31（95％ CI：0.22～0.45），合并效应统计值Z＝6.20，P＜0.00001。结论在发生视网膜脱离的并发症的概率方面，23 G微创玻璃体手术优于传统20 G手术。
목적종합평개23 G파리체수술여전통적20 G파리체수술술중화술후발생시망막탈리병발증적차이。방법사용Cochrane협작망제공적RevMan 5.1통계연건진행Meta분석，이획득량자시망막탈리발생시부유차이。결과23 G조여20 G조발생시망막탈리병발증적비치비위0.31（95％ CI：0.22～0.45），합병효응통계치Z＝6.20，P＜0.00001。결론재발생시망막탈리적병발증적개솔방면，23 G미창파리체수술우우전통20 G수술。
Objective To compare the incidence of retinal detachment ( RD ) in 23-gauge vitrectomy with traditional 20-gauge vitrectomy in treating vitroretinal diseases .Methods RevMan 5.1 offered by Cochrane was used to do the meta-analysis.The incidence rate of retinal detachment in the affected eyes were analyzed .Results In this study 1550 vitrectomies were included .The result of analysis showed that there was significant difference between 23-gauge vitrectomy and 20-gauge vitrectomy in the incidence rate of retinal detachment .The odds ratio was 0.31(95%CI,from 0.22 to 0.45 ) ( P<0.000 01 ) .Conclusions The incidence of RD after 23-gauge vitrectomy surgery is lower than traditional 20-gauge vitrectomy in treating vitroretinal diseases .