不同手术方式治疗黄斑孔的疗效观察  

Effect of different surgical methods for macular hole

作　　者：陈永森 李援东 丁莉娟 王朝晖 

机构地区：[1]周口市眼科医院,河南周口466000

出　　处：《眼外伤职业眼病杂志》2006年第9期679-680,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的观察分析不同手术方法对黄斑孔治疗的效果。方法使用单纯注气、玻璃体切除联合注气及玻璃体切除联合填充硅油3种不同的方法对54例60眼黄斑孔进行治疗,观察其疗效。结果玻璃体单纯注气治疗黄斑孔28眼,黄斑孔封闭24眼,有效率85.71%;玻璃体切除联合注气治疗黄斑孔18眼,黄斑孔封闭14眼,有效率77.78%;玻璃体切除联合填充硅油16眼,黄斑孔封闭14眼有效率87.50%。结论对于不同的患者选择不同的手术方式封闭黄斑孔均能达到较好的疗效,成功的关键是根据患者玻璃体和眼底的情况选择适合的手术方式。Objective To evaluate the effect of different surgical methods for 60 cases macular hole. Methods Using pneumatic retinopexy, vitrectomy ＋ pneumatic retinopexy, vitrectomy ＋ silicone oil temponade to treat macular hole. Results 28 cases were treated by pneumatic retinopexy methods,24 cases were successful, the closure rate was 85. 71%. 18 cases were treated by vitrectomy ＋ pneumatic retinopexy,14 cases were successful, the closure rate was 77.78%. 16 cases were treated by vitrectomy ＋ silicone oil temponade, 14 cases were successful, the closure rate was 87.50%. Conclusions All of the three different method have better curative effect. To select rational surgical methods is key. How to select surgical methods must be based of different vitreous and ocular fundus.

关 键 词：黄斑孔 玻璃体注气 玻璃体切除联合注气 玻璃体切除联合硅油填充 

分 类 号：R779.6[医药卫生—眼科]