白内障手术后单纯性孔源性视网膜脱离手术治疗的效果评价  

Evaluation of effect of simple rhegmatogenous retinal detachment surgery after cataract surgery

作　　者：彭凯[1] 闫爱民[1] PENG Kai;YAN Ai-min(Guizhou Guiyang First People＇ s Hospital,Guiyang 550002,China)

机构地区：[1]贵州省贵阳市第一人民医院,550002

出　　处：《中国现代药物应用》2018年第12期22-23,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探索白内障手术后单纯性孔源性视网膜脱离(RRD)的手术治疗效果。方法 60例白内障手术后单纯性RRD患者,根据手术方法不同分为对照组和观察组,每组30例。对照组患者给予巩膜扣带术治疗,观察组给予玻璃体切割术治疗。比较两组患者视网膜初次复位率、最终复位率、术后并发症发生率。结果观察组患者视网膜初次复位率为83.33%、最终复位率为96.67%,均高于对照组的60.00%、80.00%,差异具有统计学意义(P<0.05)。两组患者黄斑前膜、黄斑囊样水肿以及眼外肌运动障碍发生率比较差异均无统计学意义(P>0.05)。结论玻璃体切割术用于白内障手术后单纯性RRD患者的治疗中疗效显著,能够促进视网膜的复位,且术后并发症少,值得推广。Objective To investigate the surgical effect of simple rhegmatogenous retinal detachment（RRD） after cataract surgery. Methods A total of 60 simple RRD patients after cataract surgery were divided by different surgical methods into control group and observation group, with 30 cases in each group. The control group was treated with buckling scleral, and the observation group was treated with vitrectomy. Comparison were made on retinal initial reduction rate, final reduction rate and incidence of postoperative complications between the two groups. Results The observation group had higher retinal initial reduction rate as 83.33% and final reduction rate as 96.67% than 60.00% and 80.00% in the control group, and the differences were statistically significant（P〈0.05）. Both groups had no statistically significant differences in incidence of macular epiretinal membrane, cystoid macular edema and extraocular muscle movement disorders（P〉0.05）. Conclusion Vitrectomy shows remarkable efficacy in the treatment of patients with simple RRD after cataract surgery, and it can promote retinal reattachment with less postoperative complications. It is worthy of promotion.

关 键 词：白内障 单纯性 孔源性视网膜脱离 玻璃体切割术 巩膜扣带术 

分 类 号：R779.6[医药卫生—眼科]