中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
1期
59-61
,共3页
张招德%宋晏平%王雨晴%唐涵锋
張招德%宋晏平%王雨晴%唐涵鋒
장초덕%송안평%왕우청%당함봉
玻璃体切除术%糖尿病视网膜病变,增生性%疗效
玻璃體切除術%糖尿病視網膜病變,增生性%療效
파리체절제술%당뇨병시망막병변,증생성%료효
Vitrectomy%Diabetic retinopathy,proliferative%Effect
目的 分析及比较玻璃体切除术治疗不同分期增生性糖尿病视网膜病变(PDR)的疗效.方法 对PDR 110例(120眼)行玻璃体切除术,其中Ⅳ期、Ⅴ期及Ⅵ期分别为42例(44眼)、48例(52眼)、20例(24眼),术后平均随访6 ～12个月,比较随访末各期患者视功能改善率及显效率.结果 Ⅳ期、Ⅴ期及Ⅵ期视功能改善率分别为88.6％、73.1％及54.2％,(x2=7.163,P=0.026)；显效率分别为93.2％、53.9％及37.5％.(x2=7.407,P=0.023).结论 玻璃体切除术是治疗增生性糖尿病视网膜病变的有效方法,病变越早手术效果越显著.
目的 分析及比較玻璃體切除術治療不同分期增生性糖尿病視網膜病變(PDR)的療效.方法 對PDR 110例(120眼)行玻璃體切除術,其中Ⅳ期、Ⅴ期及Ⅵ期分彆為42例(44眼)、48例(52眼)、20例(24眼),術後平均隨訪6 ～12箇月,比較隨訪末各期患者視功能改善率及顯效率.結果 Ⅳ期、Ⅴ期及Ⅵ期視功能改善率分彆為88.6％、73.1％及54.2％,(x2=7.163,P=0.026)；顯效率分彆為93.2％、53.9％及37.5％.(x2=7.407,P=0.023).結論 玻璃體切除術是治療增生性糖尿病視網膜病變的有效方法,病變越早手術效果越顯著.
목적 분석급비교파리체절제술치료불동분기증생성당뇨병시망막병변(PDR)적료효.방법 대PDR 110례(120안)행파리체절제술,기중Ⅳ기、Ⅴ기급Ⅵ기분별위42례(44안)、48례(52안)、20례(24안),술후평균수방6 ～12개월,비교수방말각기환자시공능개선솔급현효솔.결과 Ⅳ기、Ⅴ기급Ⅵ기시공능개선솔분별위88.6％、73.1％급54.2％,(x2=7.163,P=0.026)；현효솔분별위93.2％、53.9％급37.5％.(x2=7.407,P=0.023).결론 파리체절제술시치료증생성당뇨병시망막병변적유효방법,병변월조수술효과월현저.
Objective To analyze and compare the effect of vitrectomy on different stages of proliferative diabetic retinopathy (PDR).Methods Vitrectomy was undergone in 110 cases (120 eyes) of PDR.Phase Ⅳ,Ⅴ and Ⅵ of PDR were in 42 cases (44 eyes),48 case (52 eyes) and 20 case(24 eyes).The improvement rate and effective rate of visual function in every stages were compared after follow-up for 6 ～ 12 months.Results In phase Ⅳ,Ⅴ and Ⅵ of PDR,improvement rates of the visual function were 88.6％,73.1％ and 54.2％ (x2 =7.163,P =0.026) ; the effective rates were 93.2％,53.9％ and 37.5％ (x2 =7.407,P =0.023).Conclusion Vitrectomy is the effective method for proliferative diabetic retinopathy.The earlier vitrectomy is performed,the effect is more significant.
