CAJ | 학술논문

目的：探讨和评价玻璃体切除联合内界膜剥除治疗黄斑裂孔的临床疗效。方法选取2007年6月~2010年6月于我院确诊黄斑裂孔的162例患者作为研究对象，随机分为对照组（n=90），治疗组（n=72）。对照组实施实施玻璃体切除手术；治疗组实施玻璃体切除联合内界膜剥除手术。比较分析两组手术有效率和黄斑裂孔闭合率。结果通过相干光断层扫描进行观察，治疗组手术有效率95.9%，黄斑裂孔闭合率80.6%。对照组手术有效率63.2%，黄斑裂孔闭合率69.3%。两组比较，差异具有显著性（P<0.05），有统计学意义。结论实施玻璃体切除联合内界膜剥除术后，可以提高黄斑裂孔闭合率、促进患者术后视力的恢复，在临床上具有深远的意义。
목적：탐토화평개파리체절제연합내계막박제치료황반렬공적림상료효。방법선취2007년6월~2010년6월우아원학진황반렬공적162례환자작위연구대상，수궤분위대조조（n=90），치료조（n=72）。대조조실시실시파리체절제수술；치료조실시파리체절제연합내계막박제수술。비교분석량조수술유효솔화황반렬공폐합솔。결과통과상간광단층소묘진행관찰，치료조수술유효솔95.9%，황반렬공폐합솔80.6%。대조조수술유효솔63.2%，황반렬공폐합솔69.3%。량조비교，차이구유현저성（P<0.05），유통계학의의。결론실시파리체절제연합내계막박제술후，가이제고황반렬공폐합솔、촉진환자술후시력적회복，재림상상구유심원적의의。
Objective To discuss and valuate the vitrectomy combined with inner membrane stripping treatment for macular hole. Methods From June, 2007 to June 2010, 162 patients with macular hole were randomly divided into control group (n=90) and treatment group (n=72). The control group was treated by vitrectomy, the treatment group was treated by vitrectomy combined with inner membrane stripping surgery. The operation efifciency and closure rates of macular hole were compared and analyzed. Results Through the coherent optical tomography, in treatment group, the efifciency rate was 95.9%and the closure rate of macular hole was 80.6%. In control the efficiency rate was 63.2% and the closure rate of macular hole was 69.3%. After the comparison between two groups, there were significant differences (P<0.05), there was statistical significance. Conclusions Implementation of vitrectomy combined with inner membrane stripping surgery could improve the closure rate of macular hole and promote the recovery of visual acuity. There was a profound signiifcance in clinic.