中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
24期
10-12
,共3页
玻璃体出血%玻璃体切除术%因素分析,统计学%息肉样脉络膜血管病变
玻璃體齣血%玻璃體切除術%因素分析,統計學%息肉樣脈絡膜血管病變
파리체출혈%파리체절제술%인소분석,통계학%식육양맥락막혈관병변
Vitreous hemorrhage%Vitrectomy%Factor analysis,statistical%Polypoidal choroidal vasculopathy
目的 评估息肉样脉络膜血管病变(PCV)合并玻璃体出血(VH)行玻璃体手术的疗效,观察有无后续治疗的自然转归,分析影响视力预后的因素.方法 回顾性分析2009年1月至2012年9月收治的行玻璃体手术治疗的20例PCV合并VH患者的临床资料,对比手术前后最佳矫正视力(BCVA),探讨影响视力预后的因素.结果 术后随访6～18(13±2)个月,末次随访时,11眼视力提高且BCVA＞ 0.05,术后2周BCVA(1.52±0.51)与术前(2.91±0.52)比较差异有统计学意义(P=0.003).对视力提高患者与视力未提高患者间疾病自然因素进行比较发现,是否行后续治疗及黄斑区病灶情况是影响视力预后的相关因素(P=0.009、0.034).给予后续治疗(应用光动力疗法或经瞳孔温热疗法)患者(10例)术后6个月BCVA(0.77±0.51)与未给予后续治疗患者(10例)(1.43±0.64)比较差异有统计学意义(P=0.035).结论 玻璃体手术可显著改善PCV合并VH的视力,术后行光动力疗法或经瞳孔温热疗法治疗可获得更佳视力.
目的 評估息肉樣脈絡膜血管病變(PCV)閤併玻璃體齣血(VH)行玻璃體手術的療效,觀察有無後續治療的自然轉歸,分析影響視力預後的因素.方法 迴顧性分析2009年1月至2012年9月收治的行玻璃體手術治療的20例PCV閤併VH患者的臨床資料,對比手術前後最佳矯正視力(BCVA),探討影響視力預後的因素.結果 術後隨訪6～18(13±2)箇月,末次隨訪時,11眼視力提高且BCVA＞ 0.05,術後2週BCVA(1.52±0.51)與術前(2.91±0.52)比較差異有統計學意義(P=0.003).對視力提高患者與視力未提高患者間疾病自然因素進行比較髮現,是否行後續治療及黃斑區病竈情況是影響視力預後的相關因素(P=0.009、0.034).給予後續治療(應用光動力療法或經瞳孔溫熱療法)患者(10例)術後6箇月BCVA(0.77±0.51)與未給予後續治療患者(10例)(1.43±0.64)比較差異有統計學意義(P=0.035).結論 玻璃體手術可顯著改善PCV閤併VH的視力,術後行光動力療法或經瞳孔溫熱療法治療可穫得更佳視力.
목적 평고식육양맥락막혈관병변(PCV)합병파리체출혈(VH)행파리체수술적료효,관찰유무후속치료적자연전귀,분석영향시력예후적인소.방법 회고성분석2009년1월지2012년9월수치적행파리체수술치료적20례PCV합병VH환자적림상자료,대비수술전후최가교정시력(BCVA),탐토영향시력예후적인소.결과 술후수방6～18(13±2)개월,말차수방시,11안시력제고차BCVA＞ 0.05,술후2주BCVA(1.52±0.51)여술전(2.91±0.52)비교차이유통계학의의(P=0.003).대시력제고환자여시력미제고환자간질병자연인소진행비교발현,시부행후속치료급황반구병조정황시영향시력예후적상관인소(P=0.009、0.034).급여후속치료(응용광동력요법혹경동공온열요법)환자(10례)술후6개월BCVA(0.77±0.51)여미급여후속치료환자(10례)(1.43±0.64)비교차이유통계학의의(P=0.035).결론 파리체수술가현저개선PCV합병VH적시력,술후행광동력요법혹경동공온열요법치료가획득경가시력.
Objettive To evaluate the effect of taking vitrectomy on the patients who suffer from polypoidal choroidal vasculopathy (PCV) combined with vitreous hemorrhage (VH),observe the natural consequence of PCV combined with VH and analyze the factors that affected the visual prognosis.Methods The clinical data of 20 patients with PCV combined with VH who performed vitrectomy were analyzed retrospectively from January 2009 to September 2012.Best corrected visual acuity (BCVA) was compared before and after operation,and explored the factors that affected the visual prognosis.Results Patients were followed up 6-18 (13 ± 2) months.At the last follow-up,BCVA was improved and better than 0.05 in 11eyes.There was significant difference in BCVA between before operation (2.91 ±0.52) and 2 weeks after operation (1.52 ±0.51)(P =0.003).The natural factors between visual acuity improved patients and non-improved patients were compared,follow-up treatment and the condition of macular was the independent factor that affected the visual prognosis (P =0.009,0.034).There was significant difference in BCVA of 6months after operation between patients with follow-up treatment (photedynamic therapy or transpupillary thermotherapy,10 cases) and patients without follow-up treatment (10 cases)(0.77 ± 0.51 vs.1.43 ± 0.64)(P =0.035).Conclusions Vitrectomy can significantly improve the visual acuity of PCV combined with VH.It will get better visual acuity,if has photodynamic therapy or transpupillary thermotherapy postoperatively.
