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
2014年
5期
326-331
,共6页
曹薇%张美萍%崔红平%陈建梅%徐萍
曹薇%張美萍%崔紅平%陳建梅%徐萍
조미%장미평%최홍평%진건매%서평
视网膜病变,糖尿病性,增生性%玻璃体切除术,23G,20G%研究,对比
視網膜病變,糖尿病性,增生性%玻璃體切除術,23G,20G%研究,對比
시망막병변,당뇨병성,증생성%파리체절제술,23G,20G%연구,대비
Retinopathy,diabetic,proliferative%Vitrectomy,23-gauge,20-gauge%Research,comparative
目的 对比观察23G和20G玻璃体手术治疗增生型糖尿病视网膜病变(PDR)的临床结果和并发症.方法 接受玻璃体切除手术治疗的PDR 52例(64只眼)纳入本回顾性对比研究.按其所接受的手术方式分为23G微创玻璃体切除手术组(23G组)和20G玻璃体切除手术组(20G组),分别为32例(40只眼)和20例(24只眼).手术后随访6个月,对比分析两组的最佳矫正视力,眼压及术中术后并发症情况.结果 两组术后1,3和6个月最佳矫正视力均比术前有显著提高(x2=20.32,22.56,18.23,P<0.01).23G组术后第一天的眼压低于术前眼压(=2.75,P<0.01).23G组的手术时间短于20G组(=2.71,P=0.01).除23G组有9只眼(22.5%)发生早期术后低眼压(与20G组比较,x2 =4.56,P=0.03),两组术中术后并发症情况无明显差异.结论 23G微创玻璃体切除手术治疗PDR的有效性与20G玻璃体切除手术基本相同,两者术中术后并发症情况差异无统计学意义.
目的 對比觀察23G和20G玻璃體手術治療增生型糖尿病視網膜病變(PDR)的臨床結果和併髮癥.方法 接受玻璃體切除手術治療的PDR 52例(64隻眼)納入本迴顧性對比研究.按其所接受的手術方式分為23G微創玻璃體切除手術組(23G組)和20G玻璃體切除手術組(20G組),分彆為32例(40隻眼)和20例(24隻眼).手術後隨訪6箇月,對比分析兩組的最佳矯正視力,眼壓及術中術後併髮癥情況.結果 兩組術後1,3和6箇月最佳矯正視力均比術前有顯著提高(x2=20.32,22.56,18.23,P<0.01).23G組術後第一天的眼壓低于術前眼壓(=2.75,P<0.01).23G組的手術時間短于20G組(=2.71,P=0.01).除23G組有9隻眼(22.5%)髮生早期術後低眼壓(與20G組比較,x2 =4.56,P=0.03),兩組術中術後併髮癥情況無明顯差異.結論 23G微創玻璃體切除手術治療PDR的有效性與20G玻璃體切除手術基本相同,兩者術中術後併髮癥情況差異無統計學意義.
목적 대비관찰23G화20G파리체수술치료증생형당뇨병시망막병변(PDR)적림상결과화병발증.방법 접수파리체절제수술치료적PDR 52례(64지안)납입본회고성대비연구.안기소접수적수술방식분위23G미창파리체절제수술조(23G조)화20G파리체절제수술조(20G조),분별위32례(40지안)화20례(24지안).수술후수방6개월,대비분석량조적최가교정시력,안압급술중술후병발증정황.결과 량조술후1,3화6개월최가교정시력균비술전유현저제고(x2=20.32,22.56,18.23,P<0.01).23G조술후제일천적안압저우술전안압(=2.75,P<0.01).23G조적수술시간단우20G조(=2.71,P=0.01).제23G조유9지안(22.5%)발생조기술후저안압(여20G조비교,x2 =4.56,P=0.03),량조술중술후병발증정황무명현차이.결론 23G미창파리체절제수술치료PDR적유효성여20G파리체절제수술기본상동,량자술중술후병발증정황차이무통계학의의.
Objective To compare the clinical outcomes and complications between 23-gauge and 20-gauge transconjunctival sutureless vitrectomy for patients with proliferative diabetic retinopathy.Methods 64 eyes of 52 consecutive patients who underwent diabetic vitrectomy were enrolled in this retrospectively comparative study.40 eyes of 32 patients underwent 23G microincision vitrectomy(23G group).24 eyes of 20 patients underwent 20G vitrectomy(20G group).The follow-up time was 6 months.The best corrected visual acuity (BCVA),intraocular pressure (IOP),and incidence of intraoperative and postoperative complications were compared.Results BCVA of both groups at postoperative 1,3 and 6 months improved significantly compared with the preoperative BCVA (x2 =20.32,22.56,18.23,P < 0.01).The I OP of the 23-gauge group at postoperative day 1 was lower than the preoperative IOP (t =2.75,P < 0.01).The Operating time of 23-gauge group was shorter than the 20-gauge group (t =2.71,P < 0.01).There was no significant difference in the incidence of intraoperative and postoperative complications except transient postoperative hypotony,which occurred in 9 eyes(22.5%) of the 23-gauge group (x2 =4.56,P =0.03).Conclusion 23-gauge transconjunctival sutureless vitrectomy appears to be as effective as 20-gauge vitrectomy for proliferative diabetic retinopathy.There is no significant difference between two methods in intraoperative and postoperative complications.