河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
3期
359-362
,共4页
间接眼底镜%前房穿刺%视网膜脱离%外路手术
間接眼底鏡%前房穿刺%視網膜脫離%外路手術
간접안저경%전방천자%시망막탈리%외로수술
Indirect funduscope%Puncture of anterior chamber%Retinal detachment%External route surgery
目的：探讨前房穿刺放液治疗视网膜脱离的临床效果，寻找最佳治疗方法。方法：选择符合标准的患者80例，随机分为观察组和对照组各40例，观察组采用前房穿刺放液，对照组引流视网膜下液，应用巩膜外垫压手术复位。结果：两组患者均术后随访6～12个月，对照组患者视网膜复位36眼，失败4眼，手术成功率为90．00％；观察组患者视网膜复位38眼，失败2只眼，手术成功率为95．00％，差异无统计学意义（ P＞0．05）。术后1周，观察组患者视力进步34眼（85．00％）、视力保持不变4眼（10．00％）和视力下降2眼（5．00％）；对照组患者视力进步25眼（62．50％）、视力保持不变8眼（20．00％）和视力下降7眼（17．50％），差异有统计学意义（P＜0．05）。观察组患者并发症发生率7．50％，低于对照组的20．00％，差异有统计学意义（ P＜0．05）。结论：手术治疗视网膜脱离，术中采用前房穿刺放液代替引流视网膜下液降低眼压，安全可靠、简便快捷、缩短手术时间、降低手术风险、提高临床疗效，值得临床推广应用。
目的：探討前房穿刺放液治療視網膜脫離的臨床效果，尋找最佳治療方法。方法：選擇符閤標準的患者80例，隨機分為觀察組和對照組各40例，觀察組採用前房穿刺放液，對照組引流視網膜下液，應用鞏膜外墊壓手術複位。結果：兩組患者均術後隨訪6～12箇月，對照組患者視網膜複位36眼，失敗4眼，手術成功率為90．00％；觀察組患者視網膜複位38眼，失敗2隻眼，手術成功率為95．00％，差異無統計學意義（ P＞0．05）。術後1週，觀察組患者視力進步34眼（85．00％）、視力保持不變4眼（10．00％）和視力下降2眼（5．00％）；對照組患者視力進步25眼（62．50％）、視力保持不變8眼（20．00％）和視力下降7眼（17．50％），差異有統計學意義（P＜0．05）。觀察組患者併髮癥髮生率7．50％，低于對照組的20．00％，差異有統計學意義（ P＜0．05）。結論：手術治療視網膜脫離，術中採用前房穿刺放液代替引流視網膜下液降低眼壓，安全可靠、簡便快捷、縮短手術時間、降低手術風險、提高臨床療效，值得臨床推廣應用。
목적：탐토전방천자방액치료시망막탈리적림상효과，심조최가치료방법。방법：선택부합표준적환자80례，수궤분위관찰조화대조조각40례，관찰조채용전방천자방액，대조조인류시망막하액，응용공막외점압수술복위。결과：량조환자균술후수방6～12개월，대조조환자시망막복위36안，실패4안，수술성공솔위90．00％；관찰조환자시망막복위38안，실패2지안，수술성공솔위95．00％，차이무통계학의의（ P＞0．05）。술후1주，관찰조환자시력진보34안（85．00％）、시력보지불변4안（10．00％）화시력하강2안（5．00％）；대조조환자시력진보25안（62．50％）、시력보지불변8안（20．00％）화시력하강7안（17．50％），차이유통계학의의（P＜0．05）。관찰조환자병발증발생솔7．50％，저우대조조적20．00％，차이유통계학의의（ P＜0．05）。결론：수술치료시망막탈리，술중채용전방천자방액대체인류시망막하액강저안압，안전가고、간편쾌첩、축단수술시간、강저수술풍험、제고림상료효，치득림상추엄응용。
Objective: To investigate the clinical efficacy of tapping anterior chamber in treatment of retinal detachment , and to search for the best therapy .Method:80 eligible patients were selected and ran-domly divided into observation group and control group , with 40 patients in each group;the observation used tapping of anterior chamber , while the control group used drainage of subretinal fluid , and scleral buckling surgery is used for surgical reduction .Result:The patients of both groups were followed up for 6~12 months. Reattachment of retina was successful in 36 eyes and failed in 4 eyes in the patients of the control group , and the achievement ratio was 90.00%; while reattachment of retina was successful in 38 eyes and failed in 2 eyes in the patients of the observation group , and the achievement ratio was 95.00%;and the difference was statistically insignificant (P>0.05).At 1 week after the surgery, the vision was improved in 34 eyes (85. 00%), was not changed in 4 eyes (10.00%), and was impaired in 2 eyes (5.00%) in the patients of the observation group;while the vision was improved in 25 eyes ( 62.50%) , was not changed in 8 eyes ( 20. 00%) , and was impaired in 7 eyes ( 17.50%) in the patients of the control group; and the difference was statistically significant (P<0.05).The incidence of complications in the patients of the observation group was 7.50%, while that in the patients of the control group was 20.00%, and the former was significantly lower ( P<0.05) .Conclusion:Tapping of anterior chamber , instead of drainage of subretinal fluid , in surgery for reti-nal detachment is safe , reliable , convenient , and quick , can shorten operative time , decrease operative risks, and elevate clinical efficacy , and consequently is worthy of clinical application .
