中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
6期
742-745
,共4页
玻璃体手术%晶状体切除术%增殖性糖尿病视网膜病变%纤维增殖
玻璃體手術%晶狀體切除術%增殖性糖尿病視網膜病變%纖維增殖
파리체수술%정상체절제술%증식성당뇨병시망막병변%섬유증식
Vitrectomy%Lensectomy%Proliferative diabetic retinopathy%Fibroblast proliferation
目的 观察玻璃体术后硅油界面前纤维膜对Ⅵ期糖尿病视网膜病变疗效的影响.方法 回顾性病例系列研究.对2011年3月至2013年3月因Ⅵ期PDR于安阳市眼科医院接受玻璃体切割+晶状体切除+剥膜+全视网膜光凝+硅油填充手术的42例(50只眼)患者,根据玻璃体术后硅油前界面的变化,将患者分为硅油界面前纤维膜组12例(12只眼)和无硅油界面前纤维膜的对照组30例(38只眼),随访3个月,对两组患者术后的最佳矫正视力、眼压、睫状体脱离和周边部视网膜脱离情况进行统计学分析.结果 术后3个月,硅油界面前纤维膜组患者眼压为(10.34±3.06) mmHg,对照组患者眼压为(15.67±4.28) mmHg,两组眼压比较差异有统计学意义(t=3.99,P=0.00);比较硅油界面前纤维膜组和对照组患者术后最佳矫正视力、睫状体脱离和周边部视网膜脱离情况,差异均有统计学意义(x2=14.18、7.24、5.23,P=0.048、0.01、0.02).结论 玻璃体术后出现硅油界面前纤维膜使术眼发生低眼压、睫状体脱离和周边部视网膜脱离的情况明显增加,严重影响病人视功能的恢复.
目的 觀察玻璃體術後硅油界麵前纖維膜對Ⅵ期糖尿病視網膜病變療效的影響.方法 迴顧性病例繫列研究.對2011年3月至2013年3月因Ⅵ期PDR于安暘市眼科醫院接受玻璃體切割+晶狀體切除+剝膜+全視網膜光凝+硅油填充手術的42例(50隻眼)患者,根據玻璃體術後硅油前界麵的變化,將患者分為硅油界麵前纖維膜組12例(12隻眼)和無硅油界麵前纖維膜的對照組30例(38隻眼),隨訪3箇月,對兩組患者術後的最佳矯正視力、眼壓、睫狀體脫離和週邊部視網膜脫離情況進行統計學分析.結果 術後3箇月,硅油界麵前纖維膜組患者眼壓為(10.34±3.06) mmHg,對照組患者眼壓為(15.67±4.28) mmHg,兩組眼壓比較差異有統計學意義(t=3.99,P=0.00);比較硅油界麵前纖維膜組和對照組患者術後最佳矯正視力、睫狀體脫離和週邊部視網膜脫離情況,差異均有統計學意義(x2=14.18、7.24、5.23,P=0.048、0.01、0.02).結論 玻璃體術後齣現硅油界麵前纖維膜使術眼髮生低眼壓、睫狀體脫離和週邊部視網膜脫離的情況明顯增加,嚴重影響病人視功能的恢複.
목적 관찰파리체술후규유계면전섬유막대Ⅵ기당뇨병시망막병변료효적영향.방법 회고성병례계렬연구.대2011년3월지2013년3월인Ⅵ기PDR우안양시안과의원접수파리체절할+정상체절제+박막+전시망막광응+규유전충수술적42례(50지안)환자,근거파리체술후규유전계면적변화,장환자분위규유계면전섬유막조12례(12지안)화무규유계면전섬유막적대조조30례(38지안),수방3개월,대량조환자술후적최가교정시력、안압、첩상체탈리화주변부시망막탈리정황진행통계학분석.결과 술후3개월,규유계면전섬유막조환자안압위(10.34±3.06) mmHg,대조조환자안압위(15.67±4.28) mmHg,량조안압비교차이유통계학의의(t=3.99,P=0.00);비교규유계면전섬유막조화대조조환자술후최가교정시력、첩상체탈리화주변부시망막탈리정황,차이균유통계학의의(x2=14.18、7.24、5.23,P=0.048、0.01、0.02).결론 파리체술후출현규유계면전섬유막사술안발생저안압、첩상체탈리화주변부시망막탈리적정황명현증가,엄중영향병인시공능적회복.
Objective To observe the effect of proliferative membrane in front of silicone oil after vitrectomy on Ⅵ period proliferative diabetic retinopathy.Methods Retrospectively analyzed 42 patients (50 eyes) with Ⅵ period proliferative diabetic retinopathy treated with vitrectomy and intravitreal injection with silicone oil 2011 to 2013.Fifty eyes were divided into two groups by means to having proliferative membrane in front of silicone oil or no.The vision,intraocular pressure,ciliary detachment and retinal detachment of all the 50 eyes after surgery were observed.Results Intraocular pressure of two groups after vitrectomy were (10.34±3.06)mmHg and(15.67±4.28)mmHg respectively,the difference was significant,(t =3.99,P =0.00).Chi-square test was used to analyze the vision,ciliary detachment and retinal detachment of two groups,the difference was significant (x2=14.18,7.24,5.23; P =0.048,0.01,0.02).Conclusions With proliferative membrane in front of silicone oil after vitrectomy will cause more of lower intraocular pressure,ciliary detachment and retinal detachment than usual,and seriously affect the recovery of patient's visual function.
