玻璃体切除联合白内障手术治疗增生性糖尿病视网膜病变  

Vitrectomy combined with cataract surgery in treatment of proliferative diabetic retinopathy

作　　者：贾雪芳 冯学峰[2] 辛志坤[1] 肖斌[3] JIA Xue-fang FENG Xue-feng XIN Zhi-kun XIAO Bin(Department of Ophthalmology, General Hospital of China Avia- tion, Beijing 100012 Department of Ophthalmology, Peking University Third Hospital, Beijing 100191 Medical Service Training Base, Third Military Medical University,Chongqing 400038 ,China)

机构地区：[1]航空总医院眼科,北京100012 [2]北京大学第三医院眼科,北京100191 [3]第三军医大学卫勤训练基地,重庆400038

出　　处：《局解手术学杂志》2017年第3期215-217,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨白内障手术与玻璃体切除手术联合治疗增生性糖尿病视网膜病变(PDR V-VI期)患者的临床效果。方法选取2012年1月至2014年1月80例增生性糖尿病视网膜病变患者作为研究对象,按手术方法分成单一术组和联合术组。单一术组患者仅进行玻璃体切除手术,联合术组患者联合白内障手术与玻璃体切除手术治疗。比较2组患者在视网膜复位率、视力水平和术后并发症等情况。结果联合术组患者和单一术组患者相比,视网膜复位率明显较高,组间比较差异有显著的统计学意义(P<0.05)。联合术组患者视力水平改善幅度高于单一术组,组间比较差异有统计学意义(P<0.05)。联合术组患者手术并发症少于单一术组,组间比较差异有统计学意义(P<0.05)。结论白内障手术联合玻璃体切除手术治疗增生性糖尿病视网膜病变临床效果确切,可有效提高视网膜复位率和视力水平,减少并发症发生率,安全可靠。Objective To investigate the clinical effects of vitrectomy combined with cataract surgery in the treatment of proliferative diabetic retinopathy （ PDR V-VI stage）. Methods A total of 80 patients with proliferative diabetic retinopathy from January 2012 to January 2014 were divided into the single group and the combined group according to the surgical method. Patients of the single group were treated by vitrectomy while patients of the combined group were treated by vitrectomy combined with cataract surgery. The incidence of retinal reattach- ment, postoperative vision and surgical complications between the two groups were compared. Results Compared with the single group, the incidence of retinal reattachment was higher in combined group （ P 〈 0.05 ）. The postoperative vision improvement was better than that in sin- gle group, the difference was significant （ P 〈 0.05 ）. And the surgical complications in combined group was less than that in single group, the difference was significant （P 〈 0.05）. Conclusion Vitrectomy combined with cataract surgery in the treatment of proliferative diabetic retinopathy has a better clinical effect which is safe and reliable, and it can improve the rate of retinal reattachment and reduce surgical complications.

关 键 词：白内障手术 玻璃体切除手术 增生性糖尿病视网膜病变 临床效果 

分 类 号：R776[医药卫生—眼科] R587.2[医药卫生—临床医学]