改良膜分割与双手膜清除技术在23G玻璃体手术治疗增殖性糖尿病视网膜病变中的对比  

Comparison of improved membrane dissection and bimanual enbloc excision in 23G vitrectomy to treat proliferative diabetic retinopathy

作　　者：刘海洋[1,2] 李甦雁[1,2] 张正培[1,2] 范巍[1,2] 

机构地区：[1]徐州市眼病防治研究所 [2]徐州市第一人民医院眼科,江苏徐州221002

出　　处：《山东大学耳鼻喉眼学报》2015年第1期52-55,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：徐州市科技计划(XM13B077)

摘　　要：目的探讨分析改良膜分割与双手膜清除技术,在23G玻璃体手术中治疗增殖性糖尿病视网膜病变(PDR)中的优缺点。方法将有玻璃体手术指征的PDR患者38例41眼纳入研究,进行前瞻性随机对照,采用随机数字表法将患者分为双手膜清除组、改良膜分割组,比较两种增殖膜去除理念——双手膜清除、改良膜分割的优缺点。比较术中医源孔数量、手术时间、术后视力改善、并发症发生情况等指标。结果改良膜分割技术降低了医源孔的发生,降低了硅油注入率,并未提高术后玻璃体积血、增殖膜及其他并发症的发生率,同时不影响视功能恢复。结论改良膜分割技术适用于23G玻璃体手术治疗增殖性糖尿病视网膜病变,联合手术优势明显,疗效良好。Objective To investigate the differences between improved membrane dissection and bimanual enbloc exci-sion in 23G vitrectomy in the treatment of proliferative diabetic retinopathy （P DR）.Method A total of 38 P DR patients（41 eyes）undergoing vitrectomy from Jun 2013 to Jan 2014 was enrolled in this study.The patients were ran-domly divided into bimanual enbloc excision group（19 patients,20 eyes）and improved membrane dissection group（19 patients,21 eyes）.After the procedures,number of iaogenic holes,ratio of silicon oil fill,operation time,postopera-tive hemorrhage,and postoperative proliferative membrane were observed.Result Improved membrane dissection decreased the number of iaogenic holes,ratio of silicon oil fill,without increasing the operation time,incidence of postop-erative hemorrhage,or proliferative membrane aggravation.Meanwhile,visual function recovery wasn＇t influnced. Conclusion The improved membrane dissection is better in 23G vitrectomy to treat proliferative diabetic retinopathy（PDR）.

关 键 词：增殖性糖尿病视网膜病变 23 G玻璃体手术 膜清除 膜分割 

分 类 号：R774.1[医药卫生—眼科]