早期23G玻璃体切除术治疗双眼Terson综合征  

Clinical assessment of early 23G vitrectomy in treatment of bilateral terson syndrome

作　　者：陈乔[1] 聂尚武[1] 王晓琴[1] 王金华[1] 

机构地区：[1]荆州市中心医院眼科,湖北荆州434020

出　　处：《中国实用眼科杂志》2015年第11期1278-1280,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨23G玻璃体切除术治疗双眼Terson综合征的时机及预后。方法对2010年1月至2014年3月在荆州市中心医院院眼科确诊并行23G玻璃体切除术治疗的11例（22只眼）患者行回顾性研究。所有病例一侧眼手术时间≤1个月为A组，对侧眼〉1个月为B组。记录两组麻醉方式、手术时间及术中情况，包括有无视网膜前膜、视网膜脱离及玻璃体腔填充物，术后随访3-6个月，观察视力、眼压、视网膜复位情况。结果两组麻醉方式及视网膜前膜无显著差异。但B组视网膜前膜粘连较紧密致手术难度增加，且B组视网膜脱离及玻璃体腔硅油或C3F8填充病例明显多于A组，导致B组手术时间明显长于A组，差异有统计学意义（P〈0．05）。术后两组视网膜复位均良好，视力均较术前明显提高，但A组视力预后明显好于B组。B组出现3例一过性高眼压。结论23G玻璃体切除术治疗双眼Terson综合征的患者，一侧眼的手术时间可在1个月内实施，有助于降低手术难度，缩短手术时间，减少术后并发症，并能获得更好的术后视力。Objective To explore the timing and prognosis ot 23G vltrectomy in treatment of w- lateral terson syndrome. Methods Eleven cases （22 eyes） with Terson syndrome from January 2010 to March 2014 treated with 23G vitrectomy in our hospital were analyzed retrospectively. All cases surgery time of one eye ≤lm for group A, contralateral eye 〉lm for group B. Recording two groups of anesthesia, operation time, intraoperative situation including epiretinal membrane, retinal de- tachment and vitreous filler, postoperative situation includes the visual acuity, intraocular pressure, ret- inal reattachment after the 3-6 months follow-up. Results No significant difference between the two groups of anesthesia and epiretinal membrane. The epiretinal membrane was relatively close to in- crease operation difficulty in group B, and the retinal detachment and vitreous cavity filled with sili- cone oil or C3F8 in group B significantly more cases than in group A, operation time in B group was obviously longer than group A. Retina were reattached after operation in two group. Visual acu- ity improved significantly, but the visual prognosis of group A was much better than group B. Group B appeared three cases of transient high intraoeular pressure, but no significant difference. Conclusions For bilateral terson syndrome, 23G vitrectomy can be implemented within 1 month, it is helpful to reduce the difficulty of operation, shorten the operation time, reduce postoperative com- plications, and get better visual acuity.

关 键 词：TERSON综合征 23G玻璃体切除术 

分 类 号：R743.35[医药卫生—神经病学与精神病学]