内界膜剥除术与填塞术治疗特发性黄斑裂孔的效果比较  

Comparation of the efficacy of internal limiting membrane peeling and insertion for idiopathic macular hole

作　　者：李佳 高亚平 邱海江[1] Li Jia;Gao Yaping;Qiu Haijiang(The First People Hospital,Guangzhou,Guangdong 510458)

机构地区：[1]广州市第一人民医院,广东广州510458

出　　处：《基层医学论坛》2023年第28期7-9,100,共4页The Medical Forum

摘　　要：目的 比较内界膜剥除术与填塞术治疗较大直径陈旧性特发性黄斑裂孔(idiopathic macular hole,IMH)的效果。方法 回顾性分析2019年1月—2021年6月广州市第一人民医院收治的裂孔直径大于600μm的IMH患者30例(30眼),按手术方式分为2组。内界膜剥除组(15例)行玻璃体切除联合内界膜剥除术及惰性气体眼内填充,内界膜填塞组(15例)行玻璃体切除联合内界膜填塞术及惰性气体眼内填充,比较术后1个月2组患者裂孔闭合情况、视力、椭圆体带缺损直径及视网膜内复合体厚度变化。结果 术后1个月2组患者裂孔闭合情况、视力、椭圆体带缺损直径及视网膜内复合体厚度比较,差异均无统计学意义(P>0.05)。结论 对于裂孔直径大于600μm的IMH,内界膜填塞术较剥除术无明显短期预后改善效果,无证据支持临床中应优先选择内界膜填塞术。Objective To compare the efficacy of pars plana vitrectomy(PPV)with internal limiting membrane(ILM)peeling and ILMinsertion for larger chronic idiopathic macular hole(IMH),both groups were tamponaded with long-acting gas at the end of surgery.Methods Thirty consecutive patients(30 eyes)diagnosed to have IMH with diameter larger than 600μm and charged in from January 2019 to June 2021 were retrospectively included.Fifteen patients underwent PPV with ILM peeling,and the others underwent PPVwith IML insertion.The macula status,visual acuity,defect of ellipsoid zone and thickness of retinal internal complex were reviewed one month after the surgery.Results There were no significant difference in terms of macula status,visual acuity,defect of ellipsoid zone and thickness of retinal internal complex(P>0.05).Conclusion For chronic IMH with diameter larger than 600μm,PPV with ILMpeeling and IML insertion had no different efficacy in the follow-up.

关 键 词：特发性黄斑裂孔 玻璃体切割术 内界膜剥除 惰性气体眼内填充 

分 类 号：R779.62[医药卫生—眼科]