CAJ | 학술논문

目的：分析外伤性黄斑孔在玻璃体切除内界膜剥除术中,玻璃体腔填充滤过空气的手术疗效。方法回顾性分析2012年1月至2014年1月在我院由同一医师手术的外伤性黄斑孔11例(11只眼)。手术方式为玻璃体切除、内界膜剥除及玻璃体腔内滤过空气填充。术后随访4~12个月。记录术前及末次随访的最佳矫正视力和黄斑孔闭合情况。结果术后黄斑孔闭合者占63.60%,视力提高两行以上者占45.50%。术后孔闭合者其术前孔径小于孔未闭合者,差异有统计学意义( F=1.79,P=0.038)。术后面向下体位平均时间为(4.27±1.20)d。结论玻璃体切除内界膜剥除玻璃体腔填充滤过空气是一种有效的治疗外伤性黄斑孔的方法；外伤性黄斑孔手术中眼内填充滤过空气,可明显缩短患者术后面向下体位时间,提前改善视力,有效封闭裂孔。
목적：분석외상성황반공재파리체절제내계막박제술중,파리체강전충려과공기적수술료효。방법회고성분석2012년1월지2014년1월재아원유동일의사수술적외상성황반공11례(11지안)。수술방식위파리체절제、내계막박제급파리체강내려과공기전충。술후수방4~12개월。기록술전급말차수방적최가교정시력화황반공폐합정황。결과술후황반공폐합자점63.60%,시력제고량행이상자점45.50%。술후공폐합자기술전공경소우공미폐합자,차이유통계학의의( F=1.79,P=0.038)。술후면향하체위평균시간위(4.27±1.20)d。결론파리체절제내계막박제파리체강전충려과공기시일충유효적치료외상성황반공적방법；외상성황반공수술중안내전충려과공기,가명현축단환자술후면향하체위시간,제전개선시력,유효봉폐렬공。
Objective To analyze the therapeutic effect of air tamponade after vitrectomy and internal limiting membrane peeling for traumatic macular hole. Methods A retrospective study was conducted on 11 eyes of 11 patients with traumatic macular hole during Jan 2012 to Jan 2014. All patients received vitrectomy, internal limiting membrane peeling and air temponade. All procedures were performed by the same surgeon. The patients were followed up for 4 to 12 months. The best corrected visual acuity and condition of macular hole was recorded preoperatively and at the last follow-up time. Results The rate of macular hole closure was 63. 60%. The patients whose visual acuity improved by two or more lines accounted for 45. 50%. The preoperative diameter of macular hole in the eyes that the macular hole closed was significantly smaller than that unclosed (F=1. 79,P=0. 038). The time of post-operative prone position was (4. 27 ± 1. 20) days. Conclusion Vitrectomy with internal membrane peeling and air temponade is an effective way to treat traumatic macular hole. Air temponade could shorten the duration of post-operative prone position, improve vision earlierly and close macular hole efficiently.