玻切联合视网膜激光手术治疗增殖性糖尿病性视网膜病变的效果  

Curative Effect Exploration of Vitrectomy Combined with Retinal Laser Surgery for Proliferative Diabetes Retinopathy

作　　者：石琼 吕伯昌 谢红英 SHI Qiong;LV Bochang;XIE Hongying(Ophthalmology Department,Zhangye City Shixueliang Ophthalmology Hospital,Zhangye,Gansu 734000)

机构地区：[1]张掖市石学良眼科医院眼科,甘肃张掖734000

出　　处：《智慧健康》2024年第24期22-24,共3页Smart Healthcare

摘　　要：目的探讨玻切联合视网膜激光手术对增殖性糖尿病性视网膜病变的疗效。方法将2017年1月—2022年12月在本院眼科治疗的40例增殖性糖尿病性视网膜病变患者随机分为两组,每组20例。对照组使用玻璃体切割术,观察组使用玻切联合视网膜激光手术,对比两组的临床疗效、各项治疗指标、各项角膜参数。结果观察组治疗有效率明显高于对照组(P<0.05);观察组术后眼压、最佳矫正视力(BCVA)、黄斑中心凹视网膜厚度(CMT)、视野缺损低于对照组(P<0.05);观察组术后角膜内皮细胞密度、上皮细胞密度均低于对照组(P<0.05)。结论玻切联合视网膜激光手术对增殖性糖尿病性视网膜病变的疗效显著,能有效减少CMT,改善视力,且对角膜的影响较小,有较高安全性。Objective To investigate effect of vitrectomy combined with retinal laser surgery for proliferative diabetes retinopathy.Methods The paper chose 40 patients with proliferative diabetes retinopathy in our hospital from January 2017 to December 2022,and divided them into two groups randomly.Control group was treated with vitrectomy,and observation group with vitrectomy combined with retinal laser surgery.Clinical effect,treatment indicators,and corneal parameters were compared between two groups.Results Effective rate of treatment in observation group was significantly higher than control group,(P<0.05).Postoperative intraocular pressure,BCVA,CMT,and visual field defects in observation group were lower than control group,(P<0.05).Density of corneal endothelial cells and epithelial cells in observation group was lower than control group after surgery,(P<0.05).Conclusion Combination of vitrectomy and retinal laser surgery can achieve significant effect on proliferative diabetes retinopathy,reduce CMT,improve vision effectively,which has little effect on cornea and high safety.

关 键 词：增殖性糖尿病性视网膜病变 玻璃体切割术 视网膜激光手术 疗效 

分 类 号：R587.2[医药卫生—内分泌] R779.6[医药卫生—内科学]