对比分析巩膜扣带术与玻璃体切割术治疗孔源性视网膜脱离的疗效及术后并发症  

Comparative Analysis of Scleral Buckling and Vitrectomy in the Treatment of Rhegmatogenous Retinal Detachment and Postoperative Complications

作　　者：吕婷婷 牛彤彤[1] 王海林[1] 尹蓉实 安燕 LV Tingting;NIU Tongtong;WANG Hailin(Shenyang Fourth People's Hospital,Liaoning Shenyang 110031,China)

机构地区：[1]辽宁省沈阳市第四人民医院眼科,辽宁沈阳110031

出　　处：《河北医学》2021年第12期2027-2032,共6页Hebei Medicine

基　　金：辽宁省沈阳市卫生健康委员会科研课题,(编号:2020023)。

摘　　要：目的:观察比较巩膜扣带术(SB)与玻璃体切割术(PPV)治疗孔源性视网膜脱离(RRD)的临床疗效及术后并发症分析。方法:回顾性选取2019年6月至2021年1月于本院眼科行手术治疗的93例(93只眼)RRD患者的临床资料,其中41例(41只眼)患者行SB设为SB组,其余52例(52只眼)患者行PPV设为PPV组。术后随访3个月,观察两组患者视网膜复位情况、最佳矫正视力情况(BCVA)及并发症发生情况。结果:两组视网膜裂孔数目、位置、类型、视网膜脱离范围及特殊视网膜脱落情况比较具有统计学意义(P<0.05);术后3个月,PPV组视网膜复位良好率为90.38%,略高于SB组78.05%,但组间比较无统计学意义(P>0.05);PPV组和SB组患者治疗前后BCVA差值比较无统计学意义(P>0.05);PPV组并发症发生率为42.31%,SB组并发症发生率为11.90%,组间比较具有统计学意义(P<0.05)。结论:SB和PPV治疗RRD患者临床疗效差异不明显,两种手术方法各有利弊,应根据病情做出合适选择。针对复杂病例,宜选择PPV;对于年轻或独眼等特殊群体,应优选SB。Objective:To observe and compare the clinical efficacy and postoperative complications of scleral buckling(SB)and vitrectomy(PPV)for rhegmatogenous retinal detachment(RRD).Methods:The clinical data of 93 patients(93 eyes)with RRD who underwent surgery in our hospital from June 2019 to January 2021 were retrospectively selected,among which 41 patients(41 eyes)were treated with SB as SB group and the remaining 52 patients(52 eyes)were treated with PPV as PPV group.The patients were followed up for 3 months,and the retinal reattachment,BCVA and complications were observed.Results:There were statistically significant differences in the number,location,type,retinal detachment range and special retinal detachment between the two groups(P<0.05).Three months after surgery,the good retinal reattachment rate in PPV group was 90.38%,slightly higher than that in SB group(78.05%),but there was no statistical significance between the two groups(P>0.05).There was no statistical significance in BCVA difference between PPV group and SB group before and after treatment(P>0.05).The complication rate was 42.31%in PPV group and 11.90%in SB group,with statistical significance(P<0.05).Conclusion:There is no significant difference in clinical efficacy between SB and PPV in the treatment of RRD patients.Both surgical methods have their own advantages and disadvantages,and appropriate choice should be made according to the condition.For complex cases,PPV should be selected;SB should be preferred for special groups such as the young or the one-eyed.

关 键 词：巩膜扣带术 玻璃体切割术 孔源性视网膜脱离 

分 类 号：R779.6[医药卫生—眼科]