视网膜脱离复位术后硅油取出时机及效果临床研究  

Outcomes and timing of silicone oil removal after retinal detachment repair

作　　者：李秋明[1] 李洋[1] 陈霞[2] 王梦华[1] 董洪涛[1] 

机构地区：[1]郑州大学第一附属医院眼科,河南450052 [2]郑州大学附属郑州中心医院眼科,河南450000

出　　处：《中国实用眼科杂志》2016年第8期797-800,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的观察并分析视网膜脱离复位术后硅油填充眼的适宜硅油取出时机与效果。方法回顾性临床病例系列研究。对2013年12月至2014年12月在郑州大学第一附属医院眼科就诊的126例（127只眼）视网膜脱离复位术后硅油取出患者的临床资料及随访记录分析。结果硅油填充时间为2，13个月，平均3个月，按时间分为2～3个月组、3-6个月组、〉6个月组。并发症发生率随填充时间逐渐增加，2～3个月组与其他两组间差异有统计学意义（χ^2=11．151，14．696，P=0．001，0．001），3-6个月组、〉6个月组间差异无统计学意义（χ^2=1．554，P=0．342）。硅油取出术后2只眼再次发生视网膜脱离，在硅油填充时间2—3个月组与3-6个月组、3-6个月组与大于6个月组、2～3个月组与大于6个月组组间差异均无统计学意义（χ^2=0．131，0．185，0．308，P=1．000，1．000，1．000）。各时间组最佳矫正视力提高至0．1以上的比例分别为64．79％、55．81％、46．15％，但组间差异无统计学意义（χ^2=0．910，1．618，0．375，P=0．428，0．227，0．752）。结论延长硅油填充时间会增加硅油填充眼并发症的发生率，但对预防硅油取出术后视网膜脱离复发及改善视力预后无明显影响。故原发性视网膜脱离复位术后视网膜复位稳定情况下，硅油取出的适宜时机是2～3月。Objective To analyze the appropriate duration of silicone oil temponade and the outcomes after removal for retinal detachment. Methods A retrospective survey was done in 126 patients （127 eyes） who had silicone oil removing operation after retinal detachment repair. Results The duration of silicone oil temponade was 2 to 13 months （average 3 months）. The complications incidence with the time of silicone oil removal delayed, the rate in 2 to 3 months group was statistically lower than the other two duration groups （χ^2=11.151, 14.696, P =0.001, 0.001）, between which there was no statistical significance （χ^21.554, P =0.342）. Retinal re-detachment was seen in 2 eyes, no statistical difference among the three duration groups was seen （χ^2 =0.131, 0.185, 0.308, P = 1.000, 1.000, 1.000）. The rate of eyes with best corrected visual acuity achieving upon 0.1 respectively was 64.79%, 55.81%, 46.15% in the three groups, having no statistical significance （χ^2=0.910, 1.618, 0.375, P =0.428, 0.227, 0.752）. Conclusions Extending the duration of silicone oil temponade will increase the occurrence of oil-associated complications, whereas has no influence on preventing retinal re-detachment after silicon oil removal and improving visual acuity, Once the retinal attachment is achieved, the best time to remove the oil is 2 to 3 months.

关 键 词：硅油取出 视网膜脱离 并发症 

分 类 号：R774.12[医药卫生—眼科]