急诊充气性视网膜固定联合气体下激光光凝术治疗视网膜脱离效果观察  

Observational Study on the Efficacy of Pneumatic Retinopexy Combined with Laser Photocoagulation in the Treatment of Retinal Detachment in Emergency Cases

作　　者：张旭斌 吴海英 ZHANG Xubin;WU Haiying(Yinchuan Jinchuan Eye Hospital Yinchuan 750004,China)

机构地区：[1]银川进川眼科医院,宁夏银川750004

出　　处：《中华灾害救援医学》2024年第8期931-933,共3页Chinese Journal of Disaster Medicine

摘　　要：目的探索在急诊中充气性视网膜固定术联合气体下激光光凝术用于治疗视网膜脱离的价值。方法回顾性分析2021年4月至2024年4月于银川进川眼科医院就诊的76例视网膜脱离患者的病历资料,根据手术方案的不同分为观察组(显微镜下激光手术,n=38)和对照组(充气性视网膜固定术+气体下光凝术,n=38)。比较两组患者的视网膜复位情况和术后最佳矫正视力情况。结果观察组患者中一次手术复位率为89.47%,显著高于对照组的65.79%(P<0.05);其中,观察组中未复位的4例均经再次治疗后复位;对照组中未复位的7例经再次治疗后复位;观察组患者最终视网膜复位率为100.00%,显著高于对照组的84.21%(P=0.011)。术后6个月,观察组研究对象中最佳矫正视力在0.3以上的有30例(78.95%)显著高于对照组中的19例(50.00%),观察组研究对象的最佳视力矫正程度明显优于对照组(P<0.05)。结论在视网膜脱离的急诊治疗中,充气性视网膜固定术不仅具理想的复位成功率,且有利于患者术后视力的恢复。Objective To explore the value of pneumatic retinopexy combined with laser photocoagulation under gas in the treatment of retinal detachment in emergency settings.Methods A retrospective analysis was conducted on the records of 76 patients with retinal detachment who were treated at Yinchuang Jinchuan Ophthalmology Hospital between April 2021 and April 2024.Patients were divided into two groups based on the surgical method:the observation group(microscopic laser surgery,n=38)and the control group(pneumatic retinopexy combined with laser photocoagulation under gas,n=38).The retinal reattachment rate and postoperative best-corrected visual acuity(BCVA)were compared between the two groups.Results The observation group had a primary reattachment rate of 89.47%,which was significantly higher than the control group's reat tachment rate of 65.79%(P<0.05).All of the four cases of non-reattachment in the observation group achieved reattachment after additional treatment,while seven non-reattached cases in the control group were also reattached after further treatment.The final retinal reattachment rate in the observation group was 100.00%,significantly higher than the 84.21%in the control group(P=0.011).At 6 months postoperatively,30 patients(78.95%)in the observation group achieved a BCVA of 0.3 or better,significantly higher than that 19 patients(50.00%)in the control group.The degree of BCVA improvement in the observation group was also significantly better than that in the control group(P<0.05).Conclusion In the emergency treatment of retinal detachment,pneumatic retinopexy not only provides an ideal reattachment success rate but also facilitates better postoperative visual recovery.

关 键 词：视网膜脱离 充气性视网膜固定术 气体下激光光凝术 

分 类 号：R77[医药卫生—眼科]