中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2013年
1期
26-29
,共4页
视网膜穿孔,黄斑%玻璃体切除术%预后
視網膜穿孔,黃斑%玻璃體切除術%預後
시망막천공,황반%파리체절제술%예후
Retinal perforations,macular%Vitrectomy%Prognosis
目的 评价玻璃体手术治疗外伤性黄斑裂孔的预后及其影响因素分析.方法 回顾性病例研究.行玻璃体切割术的外伤性黄斑裂孔患者54例(54眼),分析这些裂孔愈合情况、视力预后及术前视力、病程,黄斑孔径、有无术前眼前段或眼后段合并症与视力预后的关系.采用配对t检验和卡方检验.结果 外伤性黄斑裂孔手术后裂孔闭合48眼(89％),裂孔贴附6眼.闭合时间为(20.6±10.1)d.视力提高28眼(52％),术后视力明显提高(t=4.496,P＜0.01).术前视力、病程、术前眼前段合并症三因素在不同视力预后组之间差异无统计学意义.术前黄斑裂孔直径、术前眼后段合并症两因素在不同视力预后组之间差异有统计学意义(x2=6.006、10.650,P＜0.05).结论 玻璃体手术治疗外伤性黄斑裂孔有很好的解剖预后和较好的功能预后,但合并眼后段病变的患者视力预后差.
目的 評價玻璃體手術治療外傷性黃斑裂孔的預後及其影響因素分析.方法 迴顧性病例研究.行玻璃體切割術的外傷性黃斑裂孔患者54例(54眼),分析這些裂孔愈閤情況、視力預後及術前視力、病程,黃斑孔徑、有無術前眼前段或眼後段閤併癥與視力預後的關繫.採用配對t檢驗和卡方檢驗.結果 外傷性黃斑裂孔手術後裂孔閉閤48眼(89％),裂孔貼附6眼.閉閤時間為(20.6±10.1)d.視力提高28眼(52％),術後視力明顯提高(t=4.496,P＜0.01).術前視力、病程、術前眼前段閤併癥三因素在不同視力預後組之間差異無統計學意義.術前黃斑裂孔直徑、術前眼後段閤併癥兩因素在不同視力預後組之間差異有統計學意義(x2=6.006、10.650,P＜0.05).結論 玻璃體手術治療外傷性黃斑裂孔有很好的解剖預後和較好的功能預後,但閤併眼後段病變的患者視力預後差.
목적 평개파리체수술치료외상성황반렬공적예후급기영향인소분석.방법 회고성병례연구.행파리체절할술적외상성황반렬공환자54례(54안),분석저사렬공유합정황、시력예후급술전시력、병정,황반공경、유무술전안전단혹안후단합병증여시력예후적관계.채용배대t검험화잡방검험.결과 외상성황반렬공수술후렬공폐합48안(89％),렬공첩부6안.폐합시간위(20.6±10.1)d.시력제고28안(52％),술후시력명현제고(t=4.496,P＜0.01).술전시력、병정、술전안전단합병증삼인소재불동시력예후조지간차이무통계학의의.술전황반렬공직경、술전안후단합병증량인소재불동시력예후조지간차이유통계학의의(x2=6.006、10.650,P＜0.05).결론 파리체수술치료외상성황반렬공유흔호적해부예후화교호적공능예후,단합병안후단병변적환자시력예후차.
Objective To evaluate the prognosis and factors of vitrectomy for a traumatic macular hole.Methods A retrospective case study was performed on a consecutive series of 54 patients (54 eyes) who underwent vitrectomy for macular hole surgery.The postoperative anatomic closure status of the hole,visual acuity prognosis,and multiple factors related to prognosis,including preoperative visual acuity,duration of disease,size of the macular hole,and preoperative anterior or posterior segment complications,were analyzed.Data were analyzed with a paired t test and chi-square test.Results After surgery,48 (89％) traumatic macular hole eyes had closure; 6 eyes with traumatic macular holes eyes had joint results.The closure time was 20.6±10.1 days.Visual acuity (VA) increased in 28 eyes (52％).There was a significant difference between preoperative VA and postoperative VA (t=4.496,P＜0.01).There were no significant differences in preoperative VA,duration of disease,or preoperative anterior segment complications between the two different VA prognosis groups.There were significant differences in macular hole size and preoperative posterior segment complications between the two different VA prognosis groups (x2=6.006,10.650,P＜0.05).Conclusion Using vitrectomy is helpful for the prognosis of anatomy and function in traumatic macular hole patients,but the patients with preoperative posterior segment complications had a poor VA prognosis.
