国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
4期
760-762
,共3页
吴林彬%周家承%谭荣强%张蕾%刘姣%郑诚
吳林彬%週傢承%譚榮彊%張蕾%劉姣%鄭誠
오림빈%주가승%담영강%장뢰%류교%정성
玻璃体切割术%玻璃体切割联合手术%增生性糖尿病视网膜病变
玻璃體切割術%玻璃體切割聯閤手術%增生性糖尿病視網膜病變
파리체절할술%파리체절할연합수술%증생성당뇨병시망막병변
vitrectomy%vitrectomy combined surgery%proliferative diabetic retinopathy
目的:探讨23 G微创玻璃体切割联合术治疗增生性糖尿病视网膜病变( proliferative diabetic retinopathy ,PDR)的安全性及有效性。<br> 方法:对40例40眼纤维血管膜范围>5 PD增生性糖尿病视网膜病变患者随机行20 G及23 G玻璃体切割联合术治疗,回顾上述患者的病历资料。对术后视力、眼内压、术中及术后并发症等情况进行分析。<br> 结果:23 G组手术后1,3,6 mo的最佳矫正视力为LogMAR (0.88±0.43)、(0.69±0.23)、(0.45±0.17),20G组手术后1,3,6mo 的最佳矫正视力为 LogMAR(0.57±0.32),(0.41±0.21),(0.30±0.17),两组比较差异无统计学意义。随访时间为6~23 mo。<br> 结论:23 G玻璃体切割联合术是治疗复杂增生性糖尿病视网膜病变的安全有效方法。
目的:探討23 G微創玻璃體切割聯閤術治療增生性糖尿病視網膜病變( proliferative diabetic retinopathy ,PDR)的安全性及有效性。<br> 方法:對40例40眼纖維血管膜範圍>5 PD增生性糖尿病視網膜病變患者隨機行20 G及23 G玻璃體切割聯閤術治療,迴顧上述患者的病歷資料。對術後視力、眼內壓、術中及術後併髮癥等情況進行分析。<br> 結果:23 G組手術後1,3,6 mo的最佳矯正視力為LogMAR (0.88±0.43)、(0.69±0.23)、(0.45±0.17),20G組手術後1,3,6mo 的最佳矯正視力為 LogMAR(0.57±0.32),(0.41±0.21),(0.30±0.17),兩組比較差異無統計學意義。隨訪時間為6~23 mo。<br> 結論:23 G玻璃體切割聯閤術是治療複雜增生性糖尿病視網膜病變的安全有效方法。
목적:탐토23 G미창파리체절할연합술치료증생성당뇨병시망막병변( proliferative diabetic retinopathy ,PDR)적안전성급유효성。<br> 방법:대40례40안섬유혈관막범위>5 PD증생성당뇨병시망막병변환자수궤행20 G급23 G파리체절할연합술치료,회고상술환자적병력자료。대술후시력、안내압、술중급술후병발증등정황진행분석。<br> 결과:23 G조수술후1,3,6 mo적최가교정시력위LogMAR (0.88±0.43)、(0.69±0.23)、(0.45±0.17),20G조수술후1,3,6mo 적최가교정시력위 LogMAR(0.57±0.32),(0.41±0.21),(0.30±0.17),량조비교차이무통계학의의。수방시간위6~23 mo。<br> 결론:23 G파리체절할연합술시치료복잡증생성당뇨병시망막병변적안전유효방법。
AIM: To evaluate the safety and effectiveness of 23G micro -invasion vitrectomy combined surgery for proliferative diabetic retinopathy ( PDR) . <br> METHODS: Forty cases ( 40 eyes ) with PDR of fibrovascular membrane range >5PD were randomly treated with 20G and 23G vitrectomy combined surgery. The medical records of patients were reviewed, and the visual acuity of postoperation, intraocular pressure, complications in preoperation or postoperation were analyzed. <br> RESULTS:After 1, 3 and 6mo of surgery, the best corrected visual acuity ( BCVA ) were LogMAR ( 0.88 ± 0.43), (0.69 ±0.23), (0.45 ±0.17) in group 23G , and LogMAR (0.57±0.32), (0.41±0.21), (0.30±0.17) in group 20G.Compared with each other, the differences were not statistically significant. The patients were followed up 6-23mo after surgery. <br> CONCLUSION: 23G vitrectomy issafe and effective for complicated PDR.