27G与25G微创玻璃体切割术对孔源性视网膜脱离患者眼压及视力的影响  

Comparative Analysis of the Clinical Efficacy of 27 G and 25 G Minimally Invasive Vitrectomy for Rhegmatogenous Retinal Detachment

作　　者：张宏杰[1] ZHANG Hongjie(Yancheng Third People's Hospital,Yancheng,Jiangsu 224006,China)

机构地区：[1]盐城市第三人民医院,江苏盐城224006

出　　处：《大医生》2019年第24期55-57,共3页Doctor

摘　　要：目的探讨27 G与25 G微创玻璃体切割术对孔源性视网膜脱离患者眼压及视力的影响。方法回顾性分析2017年7月至2018年12月盐城市第三人民医院收治的孔源性视网膜脱离患者141例(145眼)作为研究对象,均采用微创玻璃体切割术进行治疗,按具体治疗方法不同分为25 G组85例(87眼)和27 G组56例(58眼)。比较2组手术指标;比较2组术前,术后1 d~随访6个月的裸眼视力、眼压及角膜内皮细胞丢失率情况;比较2组随访6个月的视网膜复位率;比较2组术中及术后并发症发生情况。结果与术前比,术后1 d~随访6个月2组裸眼视力逐渐升高(P<0.05),眼压逐渐下降(P<0.05);与术前比,术后1周~随访6个月2组角膜内皮细胞丢失率逐渐下降,且27 G组术后1个月、随访6个月低于25 G组(P<0.05)。27 G组并发症总发生率(18.97%)低于25 G组(49.43%,P<0.05)。2组手术指标及随访6个月视网膜复位率均无统计学意义(P>0.05)。结论27 G与25 G微创玻璃体切割术治疗孔源性视网膜脱离,均可实现视网膜复位,改善视力,降低眼压及角膜内皮丢失率,而27 G微创玻璃体切割术的并发症较少,安全性更高。Objective To explore the clinical efficacy of 27 G and 25 G minimally invasive vitrectomy for rhegmatogenous retinal detachment.Methods Retrospective analysis was performed on 141 patients(145 eyes)admitted to the third people's hospital of yancheng city from July 2017 to December 2018,all of whom were treated with minimally invasive vitrectomy.According to the specific treatment methods,they were divided into groups 25 G(85 eyes)and 27 G(56 eyes),respectively.The surgical indexes of the two groups were compared.The visual acuity,intraocular pressure and the loss rate of corneal endothelial cells in the two groups were compared before and after 1 d to 6 months of follow-up.The retinal reattachment rates of the two groups were compared after 6 months of follow-up.Intraoperative and postoperative complications were compared between the two groups.Results Compared with that before the operation,the visual acuity of the two groups increased gradually(P<0.05)and the intraocular pressure decreased gradually(P<0.05);Compared with before surgery,the loss rate of corneal endothelial cells in the two groups decreased gradually from 1 week after surgery to 6 months of followed-up,and the 27 G group was lower than the 25 G group at 1 month after surgery and 6 months of followed-up(P<0.05).The overall incidence of complications in group 27(18.97%)was lower than that in group 25(49.43%,P<0.05).There was no statistical significance in the surgical indicators and retinal reattachment rates of the two groups during the 6 months of followed-up(P>0.05).Conclusion 27 G and 25 G minimally invasive vitrectomy for retinal detachment can achieve retinal reduction,improve vision,reduce intraocular pressure and the rate of corneal endothelium loss 27 G minimally invasive vitrectomy has fewer complications and higher safety.

关 键 词：孔源性视网膜脱离 玻璃体切割 裸眼视力 眼压 

分 类 号：R47[医药卫生—护理学]