特发性黄斑孔玻璃体手术中空气填充的效果  

Efficacy of vitrectomy and air tamponade for idiopathic macular hole

作　　者：陈彬[1] 张凌[1] 乐原[1] 李臻[1] Chen Bin;Zhang Ling;Le Yuan;Li Zhen(Department of Ophthalmology, Leshan People’s Hospital, Sichuan 614000, China)

机构地区：[1]乐山市人民医院眼科,四川614000

出　　处：《中华眼外伤职业眼病杂志》2019年第7期539-542,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价25 G玻璃体切除术中空气填充治疗特发性黄斑孔的效果。方法回顾性对照研究。本院2016年1月至2018年3月62例(62眼)特发性黄斑孔,分为对照组和观察组各31例。全部患者均行常规的三通道25 G玻璃体切除术联合内界膜剥除术,进行气液交换后,对照组填充全氟丙烷(C3F8),观察组填充消毒空气。术后随访观察3个月。结果两组术后裂孔闭合率比较,差异无统计学意义(P=0.895),观察组患者术后的俯卧时间显著短于对照组(P=0.011),两组术后3个月视力及并发症发生率差异无统计学意义(P=0.487,0.688)。结论特发性黄斑孔25 G玻璃体切除术采取消毒空气填充较C3F8吸收快,能够显著减少患者术后的俯卧时间,安全性良好。Objective To evaluate the clinical efficacy of 25 G vitrectomy combined with air tamponade in the treatment of idiopathic macular hole. Methods A retrospective study. The data of 62 eyes of 62 patients with idiopathic macular hole were analyzed. All patients were randomly divided into two groups, with each group of 31 cases. All cases received 25 G vitrectomy combined with peeling of the inner limiting membrane. After gas fluid exchange, the control group received perfluoropropane(C3F8) tamponade in vitrectomy and the observation group received air tamponade in vitrectomy.The follow-up time was 3 months. Results The difference in the rate of hole closing was not statistically significant between the two groups (P=0.895). In observation group, the time of keeping face-down positioning was significant shorter than that of control group (P=0.011). The difference in visual acuity at 3 months postoperatively was not stastically significant (P=0.487). The difference of rate of complication was not stastistically significant between the two groups (P=0.688). Conclusion Vitrectomy and air tamponade for the treatment of idiopathic macular hole, the absorption of air is faster than that of C3F8 tamponade, which is effective to reduce the time of face-down posture.

关 键 词：玻璃体切除术 25G 黄斑孔 特发性 填充 空气 

分 类 号：R779.6[医药卫生—眼科]