玻璃体切割联合节段性巩膜扣带术治疗下方孔源性视网膜脱离的疗效观察  

Efficacy of pars plana vitrectomy combined with segmental scleral buckling in the treatment of inferior rhegmatogenous retinal detachment

作　　者：马佳佳[1] 李秋明[1] 鹿晓燕[1] 胡芷柔 MA Jiajia;LI Qiuming;LU Xiaoyan;HU Zhirou(Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China)

机构地区：[1]郑州大学第一附属医院眼二科,河南省郑州市450052

出　　处：《眼科新进展》2023年第12期979-982,共4页Recent Advances in Ophthalmology

基　　金：河南省医学科技攻关计划(编号:2018010003)。

摘　　要：目的探讨采用玻璃体切割(PPV)联合节段性巩膜扣带术(SSB)治疗下方孔源性视网膜脱离(RRD)的临床效果。方法回顾性收集2020年10月至2022年4月于郑州大学第一附属医院眼二科收治的下方RRD患者87例87眼,其中45例(45眼)接受PPV-SSB治疗为PPV-SSB组,42例(42眼)仅接受PPV治疗为PPV组,比较两组患者单次手术视网膜解剖复位成功率、术后最佳矫正视力及并发症情况。结果PPV-SSB组患者单次手术视网膜解剖复位成功率95.56%(43/45),而PPV组为80.95%(34/42),两组相比差异有统计学意义(P=0.033)。术后3个月及6个月,PPV-SSB组与PPV组患者间BCVA相比差异均有统计学意义(P=0.010、0.004)。PPV-SSB组与PPV组患者术后晶状体混浊发生率分别为28.89%(13/45)、54.76%(23/42),两组相比差异有统计学意义(P=0.018),余少数并发症发生率两组患者之间相比差异均无统计学意义(均为P>0.05)。结论PPV-SSB治疗下方RRD具有较高的视网膜复位率、良好的视力效果和较少并发症。Objective To investigate the clinical effect of pars plana vitrectomy combined with segmental scleral buckling(PPV-SSB)in the treatment of inferior rhegmatogenous retinal detachment(RRD).Methods Totally 87 eyes of 87 patients with inferior RRD who attended the Ophthalmology Department II,the First Affiliated Hospital of Zhengzhou University from October 2020 to April 2022 were retrospectively included.Among them,45 patients(45 eyes)were treated with PPV-SSB(PPV-SSB group),and 42 patients(42 eyes)were treated with PPV(PPV group).The retinal reattachment rate,best corrected visual acuity(BCVA)and complications of patients who underwent single surgery in the two groups were compared.Results After a single surgery,the retinal reattachment rate was 95.56%(43/45)in the PPV-SSB group and 80.95%(34/42)in the PPV group,with a statistically significant difference(P=0.033).At 3 months and 6 months after surgery,there were significant differences in BCVA between the PPV-SSB group and the PPV group(P=0.010,0.004).The incidence of postoperative phacoscotasmus in the PPV-SSB group and the PPV group was 28.89(13/45)and 54.76%(23/42),respectively,with a significant difference(P=0.018),while there were no significant differences in the incidence of the remaining few complications(all P>0.05).Conclusion PPV-SSB has a higher retinal reattachment rate,better visual effect and fewer complications in the treatment of inferior RRD.

关 键 词：玻璃体切割术 巩膜扣带术 下方孔源性视网膜脱离 

分 类 号：R774.1[医药卫生—眼科]