CAJ | 학술논문

目的：探讨玻璃体视网膜手术治疗先天性视网膜劈裂的临床效果。方法整群选取2012年9月—2014年4月在该院进行治疗的先天性视网膜劈裂的患者37例，随机分为对照组和治疗组，对照组采用传统的手术方法进行治疗，治疗组采用玻璃体视网膜手术进行治疗，比较两组患者的临床效果。结果治疗组患者的视力提高(0.16±0.05)，明显高于对照组视力提高的(0.05±0.07)，两组相比差异有统计学意义(P<0.05)；治疗组患者原发性和牵引性视网膜脱离并发症的发生率分别为44%和16%，明显低于对照组的58.34%和33.33%，两组相比差异有统计学意义(P<0.05)。结论玻璃体视网膜手术治疗先天性视网膜劈裂，能够有效的组织破裂症进一步恶化，利于改善患者的视力，提高患者的生活质量，值得在临床上推广使用。
목적：탐토파리체시망막수술치료선천성시망막벽렬적림상효과。방법정군선취2012년9월—2014년4월재해원진행치료적선천성시망막벽렬적환자37례，수궤분위대조조화치료조，대조조채용전통적수술방법진행치료，치료조채용파리체시망막수술진행치료，비교량조환자적림상효과。결과치료조환자적시력제고(0.16±0.05)，명현고우대조조시력제고적(0.05±0.07)，량조상비차이유통계학의의(P<0.05)；치료조환자원발성화견인성시망막탈리병발증적발생솔분별위44%화16%，명현저우대조조적58.34%화33.33%，량조상비차이유통계학의의(P<0.05)。결론파리체시망막수술치료선천성시망막벽렬，능구유효적조직파렬증진일보악화，리우개선환자적시력，제고환자적생활질량，치득재림상상추엄사용。
Objective To investigate the clinical effect of vitreoretinal surgery in treating congenital retinoschisis and its complications. Methods Patients with congenital retinoschisis in our hospital from September 2012 to April 2014 were selected. They were divided randomly into observation group and control group. Control group was given traditional surgical methods and observation group was given vitreoretinal surgery. Compare the clinical effect of the two groups. Results Vision of observation group improved (0.16±0.05), obviously higher than control group (0.05±0.07), the difference was statistically significant (P<0.05). Primary and tractional retinal detachment of observation group (44%and16%) was lower than control group (58.34%and33.33%), the difference was statistically significant (P<0.05). Conclusion Vitreoretinal surgery can treat congenital retinoschisis effectively, improve the vision of the patients and enhance the quality of life. It is worthy of clinical application.