玻璃体切割联合内界膜剥离术治疗黄斑裂孔性视网膜脱落的疗效观察  

Therapeutic effect observation of vitrectomy combined with internal limiting membrane stripping in the treatment of macular hole retinal detachment

作　　者：李凤至[1] 孙连义[1] 白淑玮[1] 邵娟[1] 

机构地区：[1]西安市第四医院,陕西西安710000

出　　处：《临床医学研究与实践》2017年第33期103-104,共2页Clinical Research and Practice

摘　　要：目的探讨玻璃体切割与内界膜剥离术联合治疗黄斑裂孔性视网膜脱落(MHRD)的疗效。方法选择我院2015年1月至2016年12月收治的80例MHRD患者,随机分为观察组与对照组,每组40例。给予患者眼部麻醉,对照组患者行闭合式标准三切口玻璃体切割术,观察组行玻璃体切割联合内界膜剥离术。治疗1个月后,比较两组患者的黄斑裂孔闭合情况、视力改善情况及并发症发生率。结果治疗后,观察组患者的视力改善率为92.50%(37/40),高于对照组的75.00%(30/40),差异显著(P<0.05)。治疗后,观察组患者的黄斑裂孔闭合率为92.50%(37/40),高于对照组的75.00%(30/40),差异显著(P<0.05)。观察组患者的并发症发生率为5.00%(2/40),与对照组患者的10.00%(4/40)比较,差异不显著(P>0.05)。结论玻璃体切割联合内界膜剥离术治疗黄斑裂孔性视网膜脱落能够提高患者的视力改善率与黄斑裂孔闭合率,降低患者的并发症发生率,具有临床推广价值。Objective To discuss the effect of vitrectomy combined with internal limiting membrane stripping in the treatment of macular hole retinal detachment（MHRD）. Methods A total of 80 patients with MHRD from January 2015 to December 2016 in our hospital were selected and randomly divided into control group and observation group, with 40 cases in each group. All the patients were given eye anesthesia, the control group was treated with closed standard three incision vitrectomy, while the observation group was given vitrectomy combined with internal limiting membrane stripping. After 1 month treatment, the macular hole closure rate, visual improvement rate and complication rate were compared between the two groups. Results After treatment, the visual improvement rate was 92.50%（37/40） in the observation group, which was significantly higher than 75.00%（30/40） in the control group（P〈0.05）. The macular hole closure rate was 92.50%（37/40）in the observation group, which was significantly higher than 75.00%（30/40） in the control group（P〈0.05）. The incidence of complications in the observation group was 5.00%（2/40）, compared with 10.00%（4/40） of the control group, the difference was not significant（P〉0.05）. Conclusion Vitrectomy combined with internal limiting membrane stripping in the treatment of MHRD can improve the visual improvement rate and macular hole closure rate, reduce the incidence of complications, which has clinical value of promotion.

关 键 词：玻璃体切割 内界膜剥离术 黄斑裂孔性视网膜脱落 

分 类 号：R799.6[医药卫生—临床医学]