CAJ | 학술논문

目的探讨增殖性糖尿病视网膜病变的玻璃体切除手术的疗效.方法选取2012年1月~2014年1月,我院应用玻璃体切除手术治疗增殖性糖尿病视网膜病变患者20例(26眼).术后随诊1年,观察患者的视力、眼压、晶状体、玻璃体腔、视网膜及填充物情况并处理并发症.结果术后随访6个月视力提高率达73.1%,其中IV期14眼,V期3眼,VI期2眼.术后随访1年视力提高率达100.0%,无一例出现视力下降.术后1年的视力提高率显著高于术后6个月视力提高率,差异有统计学意义(P<0.05).26眼术后的视力较术前显著改善,差异有统计学意义(P<0.05).结论玻璃体切除手术治疗增殖性糖尿病视网膜病变可以显著提高患者视力,并发症少,值得推广和应用.
목적 탐토증식성당뇨병시망막병변적파리체절제수술적료효.방법 선취2012년1월~2014년1월,아원응용파리체절제수술치료증식성당뇨병시망막병변환자20례(26안).술후수진1년,관찰환자적시력、안압、정상체、파리체강、시망막급전충물정황병처리병발증.결과 술후수방6개월시력제고솔체73.1%,기중IV기14안,V기3안,VI기2안.술후수방1년시력제고솔체100.0%,무일례출현시력하강.술후1년적시력제고솔현저고우술후6개월시력제고솔,차이유통계학의의(P<0.05).26안술후적시력교술전현저개선,차이유통계학의의(P<0.05).결론 파리체절제수술치료증식성당뇨병시망막병변가이현저제고환자시력,병발증소,치득추엄화응용.
Objective To explore the curative effect of vitrectomy for proliferative vitreoretinopathy. Methods 20 patients (26 eyes) who were received vitrectomy for proliferative vitreoretinopathy from January 2012 to January 2014 in our hospital were seleted. In the one-year postoperative follow-up, visual acuity, intraocular pressure, lens, vitreous cavity, retinal and the filling condition of patients were compared and complications were treated. ResultsIn the postoperative follow-up, the improving rate of vision acuity 6 months after the treatment was 73.1%, including 14 eyes in stage IV, 3 eyes in stage V and 2 eyes in stage VI. In the postoperative follow-up, the improving rate of vision acuity 1 year after the treatment was 100.0% and no patient was with hypopsia. The improving rate of vision acuity 1 year after the treatment was significantly higher than which was 6 months after the treatment and the difference was statistically significant (P<0.05). Postoperative visual acuity of 26 eyes were significantly improved after the treatment and the difference has a statistical significance (P<0.05).Conclusion Vitrectomy for proliferative vitreoretinopathy can significantly improve visual acuity and it has few complications, which is worth promotion and application.