玻璃体切除联合白内障手术治疗增殖性糖尿病视网膜病变60眼分析  被引量:5

Vitrectomy combining cataract surgery for 60 eyes with proliferative diabetic retinopathy

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作  者:刘朝[1] 

机构地区:[1]濮阳市油田总医院,457001

出  处:《国际医药卫生导报》2018年第2期198-201,共4页International Medicine and Health Guidance News

摘  要:目的分析增殖性糖尿病视网膜病变(PDR)患者,实施玻璃体切除联合白内障手术的治疗方法和效果。方法选取本院收治的60例PDR患者,均为单眼发病,纳入时间为2015年8月至2016年8月。将其分为两组:单一玻璃体切除术治疗30例患者作为对照组,玻璃体切除术+白内障手术联合治疗30例患者作为试验组。观察患者的视网膜复位情况,分别在治疗前、治疗后,测定视力和眼压水平,并准确记录术后并发症情况,在两组患者之间进行比较。结果试验组视网膜完全复位率为53.33%,高于对照组的20.00%,差异有统计学意义(P〈0.05)。试验组患者治疗后的视力、眼压分别为(0.76±0.22)、(14.62±2.40)mmHg,对照组治疗后的视力、眼压分别为(0.53±0.17)、(17.33±2.78)mmHg,试验组改善情况更佳,差异有统计学意义(P〈0.05)。试验组术后硬性渗出、瞳孔挟持、囊膜混浊、黄斑水肿的发生率分别为6.67%、3.33%、10.00%、3.33%,对照组发生率分别为20.00%、10.00%、23.33%、6.67%,对比发生率差异均无统计学意义(均P〉0.05)。结论PDR患者给予玻璃体切除术联合白内障手术治疗效果突出,能提高视网膜复位率,改善患者的视力和眼压水平,值得推广应用。Objective To analyze the effect of vitrectomy combining cataract surgery for patients with proliferative diabetic retinopathy (PDR). Methods 60 patients with PDR in one eye were selected from August, 2015 to August, 2016 and were divided into a test group and a control group, 30 for each group. The control group were treated with vitrectomy and the test group with vitrectomy and cataract surgery. The retinal reattachment was observed in both groups. The eyesight and intraocular tension were measured before and after the treatment. The postoperative complications were recorded. The results were compared between these two groups. Results The retinal reattachment rate was 53.33% in the test group and was 20.00% in the control group, with a statistical difference (P 〈 0.05). After the treatment, the eyesight and intraocular tension were ( 0.76±0.22 ) mmHg and ( 14.62±2.40 ) mmHg in the test group and were (0.53±0.17) mmHg and (17.33±2.78)mmHg in the control group, with statistical differences ( both P 〈 0.05 ) . The incidences of hard exudation, pupil grasp, capsular opacification, and macular oedema were 6.67%, 3.33%,10.00%, and 3.33% in the test group and were 20.00%, 10.00%, 23.33%, and 6.67% in the control group after the treatment, with no statistical differences (all P 〉 0.05). Conclusions Vitrectomy combining cataract surgery for patients with PDR is remarkably effective and can increase retinal reattachment rate and can improve the patients' eyesight and intraocular tension for patients, so it is worth being generalized.

关 键 词:PDR 玻璃体切除 白内障手术 视力 眼压 

分 类 号:R587.2[医药卫生—内分泌]

 

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