CAJ | 학술논문

目的观察高度近视视网膜脱离手术后应用氩激光光凝封闭视网膜裂孔和术中巩膜外冷凝封闭视网膜裂孔的疗效与舒适度.方法利用同期性对照研究方法.将高度近视视网膜脱离手术后应用氩激光光凝封闭视网膜裂孔患者21例21只眼(术后光凝组),与同期术中冷凝封闭视网膜裂孔患者19例19只眼(术中冷凝组)进行对照,并进行短期随访观察疗效以及评价两组患者的术后舒适度.结果随访时间为6个月,术后光凝组一次治愈率为95.23％,术中冷凝组为94.73％,两组差异无统计学意义(P＞0.05).术后6月脱盲(视力≥0.05)率术后光凝组为90.48％ (19/21),术中冷凝组为52.63％ (10/19),两组差异具有统计学意义(x2=7.16,P＜0.05).以5分法评估两组患者术后眼部的疼痛程度来评价两组患者的术后舒适度,其中术后光凝组、术中冷凝组在术后lh以及术后1周的舒适度相当,两组差异比较均无统计学意义(P＞0.05).术后光凝组术后第1天、第2天、第3天的舒适度均优于术中冷凝组,两组差异均具有统计学意义(P＜0.05).结论高度近视视网膜脱离术后应用氩激光光凝封闭裂孔,定位准确,简化手术操作,对视功能的恢复有帮助,且有较好地舒适度,患者易接受.
목적 관찰고도근시시망막탈리수술후응용아격광광응봉폐시망막렬공화술중공막외냉응봉폐시망막렬공적료효여서괄도.방법 이용동기성대조연구방법.장고도근시시망막탈리수술후응용아격광광응봉폐시망막렬공환자21례21지안(술후광응조),여동기술중냉응봉폐시망막렬공환자19례19지안(술중냉응조)진행대조,병진행단기수방관찰료효이급평개량조환자적술후서괄도.결과 수방시간위6개월,술후광응조일차치유솔위95.23％,술중냉응조위94.73％,량조차이무통계학의의(P＞0.05).술후6월탈맹(시력≥0.05)솔술후광응조위90.48％ (19/21),술중냉응조위52.63％ (10/19),량조차이구유통계학의의(x2=7.16,P＜0.05).이5분법평고량조환자술후안부적동통정도래평개량조환자적술후서괄도,기중술후광응조、술중냉응조재술후lh이급술후1주적서괄도상당,량조차이비교균무통계학의의(P＞0.05).술후광응조술후제1천、제2천、제3천적서괄도균우우술중냉응조,량조차이균구유통계학의의(P＜0.05).결론 고도근시시망막탈리술후응용아격광광응봉폐렬공,정위준학,간화수술조작,대시공능적회복유방조,차유교호지서괄도,환자역접수.
Objective To observe the effect and comfort of the argon laser phatocoagulation instead of cryotherapy for retinal detachment (RD) in high myopia after surgery.Methods Patients were divided into two groups.After the surgery of 21 high myopia patients with 21 retinal detachment in group 1,the application of argon laser photocoagulation of retinal break alternative intra-operative scleral condensation closed hole (19 high myopia patients with 19 retinal detachment in group 2),and short-term follow-up effects were observed.Results All cases were followed up for 6-36 months,postoperatively healing rate was 95.23％ in group 1 and 94.73％ in group 2.There was no significant difference between two groups in healing rate (P ＞0.05).The visual acuity was improved in 19 cases (90.48％) of group 1,and 10 cases (52.63％) of group 2.There was significant difference between two groups (x2=7.16,P ＜0.05).Postoperative ocular pain severity was measured using 5 point evaluating method to evaluate patients' comfort of the two groups.Comfort of the two groups showed no significant statistical significance (P ＞0.05) after 1 hour and 1 week of operation.But the first day,two days,three days of comfort after operative of the group 1 were better than the group 2,the difference between the two groups were statistically significant (P ＜0.05).Conclusions Using postoperative argon laser treat accurate retinal detachment in high myopia can accurately position and simplify the surgical procedure,shortly operative time.And patients have a better comfort,fewer complications and benefit to visual function.