折叠顶压球囊与传统巩膜外加压治疗孔源性视网膜脱离的对比研究  

Comparative study on the treatment of rhegmatogenous retinal detachment between foldable capsular body and scleral buckling

作　　者：张宁[1,2] 张百珂 贾雍 郭丽莎 王春磊 张向阳 冯继伟 田学敏 Ning Zhang;Bai-Ke Zhang;Yong Jia;Li-Sha Guo;Chun-Lei Wang;Xiang-Yang Zhang;Ji-Wei Feng;Xue-Min Tian(Xinxiang Medical College,Xinxiang 453000,Henan Province,China;Department of Ophthalmology,the 988th Hospital of Joint Logistic Support Force of the People's Liberation Army,Zhengzhou 450000,Henan Province,China)

机构地区：[1]新乡医学院,河南省新乡市453000 [2]中国人民解放军联勤保障部队第九八八医院眼科,河南省郑州市450000

出　　处：《国际眼科杂志》2023年第5期813-817,共5页International Eye Science

基　　金：河南省医学科技攻关计划(No.LHGJ20190867)。

摘　　要：目的:对折叠顶压球囊(FCB)与传统巩膜外加压术(SB)治疗孔源性视网膜脱离(RRD)的疗效及并发症进行对比研究。方法:回顾性分析2019-03/2022-04我院81例82眼RRD患者的临床资料,对比两种治疗方式下患者术后的视网膜复位率、最佳矫正视力和视网膜下积液吸收的疗效差异,以及术后不适、并发症的发生率。结果:术后FCB组视网膜复位率为96%,SB组复位率为92%,两组无差异(P>0.05)。两组波及黄斑患眼的最佳矫正视力手术前后比较均有差异(P<0.01)。两组均可促进患眼视网膜下积液吸收。FCB组手术时间为16.50(12.75,25.00)min, SB组手术时间为38.00(36.25,41.75)min(P<0.001)。FCB组患者术后眼睑肿胀不适发生率明显低于SB组(P<0.001),术后1d FCB组VAS疼痛评分1.00(0.00,2.00)分,SB组3.00(2.00,3.00)分(P<0.001)。结论:FCB治疗RRD是一种安全有效且可减轻患者痛苦的手术方法,相较于SB,手术时间明显缩短,患者术后不良反应轻。AIM:To compare the effectiveness and complications of treating rhegmatogenous retinal detachment(RRD)with foldable capsule body(FCB)and scleral buckling(SB).METHODS:The clinical data of 81 patients(82 eyes)with RRD who underwent surgery at our hospital from March 2019 to April 2022 were retrospectively analyzed.The differences in retinal reattachment rate,best-corrected visual acuity,the absorption of subretinal fluid,postoperative discomfort and incidence of complications between the two treatments were compared.RESULTS:The retinal reattachment rate was 96%in the FCB group and 92%in the SB group,with no significant difference between the two groups(P>0.05).The best corrected visual acuity of the affected macular eyes was different in the both groups(P<0.01).Both groups effectively promoted the absorption of subretinal fluid.The operation time of FCB group was 16.50(12.75,25.00)min,while it was 38.00(36.25,41.75)min in the SB group(P<0.001).Patients in the FCB group also had significantly lower eyelid swelling and pain symptoms than those in the SB group(P<0.001).The visual analogue scale(VAS)score at 1d after operation was 1.00(0.00,2.00)in the FCB group and 3.00(2.00,3.00)in the SB group(P<0.001).CONCLUSION:FCB is a safe and effective surgical method to treat RRD that can alleviate patient’s pain.Furthermore,FCB has a significantly shorter operation time and milder postoperative adverse reactions than SB.

关 键 词：孔源性视网膜脱离 折叠顶压球囊 传统巩膜外加压术 

分 类 号：R779.6[医药卫生—眼科]