孔源性视网膜脱离内外路手术预后的观察  

Prognostic effect of internal and external surgery for rhegmatogenous retinal detachment

作　　者：赵鲁新[1] 祝伟 Zhao Luxin;Zhu Wei(Ophthalmology Department,Central Hospital of Zibo,Zibo 255036,China)

机构地区：[1]淄博市中心医院眼科,山东淄博255036

出　　处：《江苏科技信息》2022年第7期66-69,共4页Jiangsu Science and Technology Information

摘　　要：文章采用回顾性研究的方法观察经平坦部玻璃体切除手术和巩膜扣带手术两种方式治疗孔源性视网膜脱离的效果。本研究选择2017年5月至2020年12月在淄博市中心医院确诊的孔源性视网膜脱离的连续病例192例207眼,年龄43—66岁,男性102例、女性90例,有晶体眼186例,累及黄斑脱离的86例,合并高度近视的24例,多孔(2~6个)的97例,分为A组(玻璃体手术组)和B组(巩膜扣带手术组)进行手术治疗。术后随访6个月,观察术眼的最佳矫正视力、视网膜复位以及并发症发生情况。本研究结果显示,A组术后3个月共有120眼(98.36%)一次手术后视网膜复位,2眼存在视网膜浅脱离;B组术后3个月共有81眼(95.29%)一次手术后视网膜复位,4眼存在视网膜浅脱离。所有患者手术后最佳矫正视力均较术前有不同程度改善,差异有统计学意义(P<0.05)。A组54眼(44.3%)术后一过性眼压升高,使用降眼压药物1周后恢复正常;36眼(29.5%)术后出现前房房水闪辉。文章认为玻璃体手术和巩膜扣带手术两种方式是治疗孔源性视网膜脱离的有效方法,能够有效促进视网膜裂孔的闭合以及视网膜的复位。The paper observes the effect of pars plana vitrectomy and scleral buckling surgery in the treatment of rhegmatogenous retinal detachment. The research chooses 192 consecutive cases(207 eyes) of rhegmatogenous retinal detachment diagnosed in Central Hospital of Zibo from May 2017 to December 2020, aged from 43 to 66, including 102 males, 90 females, 186 eyes with lens, 86 cases involving macular detachment, 24 cases with high myopia and 97cases with multiple holes(2-6), were divided into group A( vitreous surgery group) and group B( scleral buckling surgery group). The patients were followed up for six months to observe the best corrected visual acuity, retinal reduction and complications. The results are that in group A, 120 eyes( 98. 36%) had retinal reattachment three months after operation, and 2 eyes had shallow retinal detachment;in group B, 81 eyes( 95. 29%) had retinal reattachment three months after operation, and 4 eyes had shallow retinal detachment. The best corrected visual acuity of all patients after operation was better than that before operation, and the difference was statistically significant(P<0. 05). In group A, 54 eyes(44. 3%) had transient intraocular pressure rise after operation, and returned to normal after using intraocular pressure reducing drugs for one week;36 eyes( 29. 5%) had aqueous scintillation after operation. The conclusion is that vitrectomy and scleral buckling surgery are effective methods for the treatment of rhegmatogenous retinal detachment, which can effectively promote the closure of retinal holes and the reduction of retina.

关 键 词：平坦部玻璃体切除术 孔源性视网膜脱离 巩膜扣带术 

分 类 号：R77[医药卫生—眼科]