CAJ | 학술논문

目的：探讨曲安奈德应用于玻璃体视网膜手术的效果。方法：收集行玻璃体视网膜手术的患者216例，根据是否应用曲安奈德分为观察组（113例113眼）和对照组（103例103眼），均常规行标准平坦部三切口闭合式玻璃体切除术，观察组术中均在玻璃体腔内注射曲安奈德，对照组未应用曲安奈德，比较两组的疗效。结果：观察组的术后视网膜未复位而复发视网膜脱离率为2.65%，显著低于对照组的7.77%（P<0.05）；观察组玻璃体无反应率及视力提高率显著高于对照组（P<0.05）；两组术后炎症反应及眼压均无明显差异（P>0.05）。结论：在玻璃体视网膜手术中应用曲安奈德，能够提高术中辨别度，提高手术成功率与治疗效果，减少手术并发症，值得推广应用。
목적：탐토곡안내덕응용우파리체시망막수술적효과。방법：수집행파리체시망막수술적환자216례，근거시부응용곡안내덕분위관찰조（113례113안）화대조조（103례103안），균상규행표준평탄부삼절구폐합식파리체절제술，관찰조술중균재파리체강내주사곡안내덕，대조조미응용곡안내덕，비교량조적료효。결과：관찰조적술후시망막미복위이복발시망막탈리솔위2.65%，현저저우대조조적7.77%（P<0.05）；관찰조파리체무반응솔급시력제고솔현저고우대조조（P<0.05）；량조술후염증반응급안압균무명현차이（P>0.05）。결론：재파리체시망막수술중응용곡안내덕，능구제고술중변별도，제고수술성공솔여치료효과，감소수술병발증，치득추엄응용。
Objective:To explore the effect of triamcinolone acetonide is applied in vitreous retinal surgery. Methods:Collecting line vitreous retinal surgery of 216 cases of patients, according to whether the application of triamcinolone acetonide is divided into observation group and 113 cases (113 eyes) and control group 103 cases (103 eyes). In observation group were in the vitreous cavity injection of triamcinolone acetonide, and the control group did not apply triamcinolone acetonide. Results:Postoperative retina of observation group was not reset and the recurrence of retinal detachment rate was 2.65%, significantly less than 7.77%of the control group (P<0.05);Observation group vitreous no reaction rate and improve vision rate is significantly higher than control group (P<0.05);Two groups of postoperative inflammatory reaction and intraocular pressure were no obvious difference (P>0.05). Conclusions:Application of triamcinolone acetonide in vitreous retinal surgery, can improve the intraoperative discern degree, improve the success rate of operation and treatment effect, is worthy of popularization and application.