中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
Chinese Journal of ocular trauma and occupational eye disease
2015年
6期
407-410
,共4页
玻璃体切除术%玻璃体残留%曲安奈德
玻璃體切除術%玻璃體殘留%麯安奈德
파리체절제술%파리체잔류%곡안내덕
Vitrectomy%Residual vitreous%Triamcinolone acetonide
目的 观察玻璃体切除术中黄斑前玻璃体残留患眼的临床表现.方法 曲安奈德(Triamcinolone acetonide)辅助下行玻璃体切除术484例(509只眼),切除前段及中央部玻璃体,注入曲安奈德混悬液,进行玻璃体染色,术中观察玻璃体是否后脱离及黄斑前有无玻璃体残留,分析玻璃体残留与年龄、原发病、发病时间等因素的关系.结果 509只眼中,黄斑前玻璃体残留者34只眼,残留率为6.68％.0～20岁组残留率为18.64％;21～40岁组残留率为7.88％;41～ 60岁组残留率为4.17％;60～76岁组残留率为2.15％.二分类变量logistic回归分析,OR=0.445,95％可信区间为0.298～0.666.孔源性视网膜脱离组残留率为11.61％;眼外伤组残留率为10.52％;将孔源性视网膜脱离与眼外伤组合为一组,其余原发病合另一组,比较采用卡方检验,x2=16.104,P＜0.001,两组间残留率差异有统计学意义.孔源性视网膜脱离组和眼外伤组出现残留者的平均发生时间分别为(10.39±6.02)d和(10.90±4.70)d.结论 玻璃体切除术中黄斑前玻璃体残留更容易在孔源性视网膜脱离、眼外伤、年龄偏小及发病早期的患者中出现.
目的 觀察玻璃體切除術中黃斑前玻璃體殘留患眼的臨床錶現.方法 麯安奈德(Triamcinolone acetonide)輔助下行玻璃體切除術484例(509隻眼),切除前段及中央部玻璃體,註入麯安奈德混懸液,進行玻璃體染色,術中觀察玻璃體是否後脫離及黃斑前有無玻璃體殘留,分析玻璃體殘留與年齡、原髮病、髮病時間等因素的關繫.結果 509隻眼中,黃斑前玻璃體殘留者34隻眼,殘留率為6.68％.0～20歲組殘留率為18.64％;21～40歲組殘留率為7.88％;41～ 60歲組殘留率為4.17％;60～76歲組殘留率為2.15％.二分類變量logistic迴歸分析,OR=0.445,95％可信區間為0.298～0.666.孔源性視網膜脫離組殘留率為11.61％;眼外傷組殘留率為10.52％;將孔源性視網膜脫離與眼外傷組閤為一組,其餘原髮病閤另一組,比較採用卡方檢驗,x2=16.104,P＜0.001,兩組間殘留率差異有統計學意義.孔源性視網膜脫離組和眼外傷組齣現殘留者的平均髮生時間分彆為(10.39±6.02)d和(10.90±4.70)d.結論 玻璃體切除術中黃斑前玻璃體殘留更容易在孔源性視網膜脫離、眼外傷、年齡偏小及髮病早期的患者中齣現.
목적 관찰파리체절제술중황반전파리체잔류환안적림상표현.방법 곡안내덕(Triamcinolone acetonide)보조하행파리체절제술484례(509지안),절제전단급중앙부파리체,주입곡안내덕혼현액,진행파리체염색,술중관찰파리체시부후탈리급황반전유무파리체잔류,분석파리체잔류여년령、원발병、발병시간등인소적관계.결과 509지안중,황반전파리체잔류자34지안,잔류솔위6.68％.0～20세조잔류솔위18.64％;21～40세조잔류솔위7.88％;41～ 60세조잔류솔위4.17％;60～76세조잔류솔위2.15％.이분류변량logistic회귀분석,OR=0.445,95％가신구간위0.298～0.666.공원성시망막탈리조잔류솔위11.61％;안외상조잔류솔위10.52％;장공원성시망막탈리여안외상조합위일조,기여원발병합령일조,비교채용잡방검험,x2=16.104,P＜0.001,량조간잔류솔차이유통계학의의.공원성시망막탈리조화안외상조출현잔류자적평균발생시간분별위(10.39±6.02)d화(10.90±4.70)d.결론 파리체절제술중황반전파리체잔류경용역재공원성시망막탈리、안외상、년령편소급발병조기적환자중출현.
Objective To analyse the clinical features of patients who had the pre-macular residual vitreous in pars plana vitrectomy (PPV).Methods Triamcinolone acetonide-assisted pars plana vitrectomy was performed on 509 eyes of 484 cases.The front and central vitreous body was removed, and the Triamcinolone acetonid (TA) was injected to check if there was posterior vitreous detachment.The pre-macular residual vitreous was observed during the operation.The relationship between residual vitreous and age, primary disease and the duration of the disease was analyzed.Results Of the 509 eyes, the pre-macular residual vitreous occurred in 34 eyes and the residual rate was 6.68％.The rates of the pre-macular residual vitreous in different ages were 18.64％ in 0 ～ 20 years group, 7.88％ in 21 ～ 40 years group, 4.17％ in 41 ～ 60 years group, 2.15％ in 60 ～ 76 years group.OR value of Logistic regression analysis of binary classification variables was 0.445, and 95％ confidence interval was 0.298-0.666.The residual rate in rhegmatogenous retinal detachment (RRD) group was 11.61％.The residual rate in ocular trauma group was 10.52％.The difference in residual rate of RRD and ocular trauma cases was significantly highter than the other cases (x2 =16.104,P ＜0.001).The average occurrence time of RRD group and ocular trauma group were (10.39 ± 6.02) days and (10.90 ± 4.70) days respectively.Conclusion The pre-macular residual vitreous is easier to occur in patients who have RRD, ocular trauma, younger age, and at the early stages of diseases.
