PPV联合不同填充术式治疗黄斑脱离型孔源性视网膜脱离的效果对比  

Comparison of the Efficacy of PPV Combined with Different Filling Methods in the Treatment of Patients with Macular Detachment Rhegmatogenous Retinal Detachment

作　　者：董尼娜 孙涛 DONG Nina;SUN Tao(Department of Ophthalmology,Yancheng First People’s Hospital ENT Hospital,Jiangsu 224000,China)

机构地区：[1]江苏省盐城市第一人民医院五官科医院眼科,江苏盐城224000

出　　处：《中国伤残医学》2024年第24期30-34,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:对比微创玻璃体切割术(PPV)联合不同填充术式治疗黄斑脱离型孔源性视网膜脱离(RRD)的疗效。方法:选取2022年6月—2024年5月盐城市第一人民医院五官科收治的100例黄斑脱离型RRD患者为研究对象,随机将其分为空气组和硅油组,各50例。空气组予以PPV联合空气填充术治疗,硅油组予以PPV联合硅油填充术治疗。比较两组患眼视力、黄斑区视网膜扫频源光学相干断层扫描血管成像(SS-OCTA)参数、患眼视网膜血流密度及并发症发生情况。结果:空气组术后7 d、14 d、1个月时患眼logMAR视力均低于硅油组,差异有统计学意义(P<0.05)。两组术后1个月时FAZ周长、FAZ面积均较术后7 d时有所提高,差异有统计学意义(P<0.05)。两组术后7 d、14 d、1个月时患眼黄斑区FAZ周长、FAZ面积、CI比较,差异无统计学意义(P>0.05)。空气组术后14 d、1个月时的SVC-FVD、SVC-VD、DVC-FVD及术后1个月时DVC-VD均高于硅油组,差异有统计学意义(P<0.05)。结论:PPV联合空气或硅油填充术均可有效治疗黄斑脱离型RRD,其中以空气填充对患者患眼视力、黄斑区微血管血流密度的改善更佳,疗效更好。Objective:To compare the efficacy of pars plana vitrectomy(PPV)combined with different filling methods in the treatment of patients with macular detachment rhegmatogenous retinal detachment(RRD).Methods:A total of 100 patients with macular detachment RRD admitted to our hospital from June 2022 to May 2024 were randomly divided into air group(n=50)and silicone oil group(n=50).PPV combined with air tamponade and PPV combined with silicone oil tamponade were performed respectively.The visual acuity,retinal scanning optical coherence tomography(SS-OCTA)parameters,retinal blood flow density and complications were compared between the two groups.Results:The logMAR visual acuity of the air group was lower than that of the silicone oil group at 7,14 d and 1 months after operation,and the difference were statistically significant(P<0.05).The FAZ perimeter and FAZ area of the two groups at 1 month after operation were higher than those at 7 d after operation,and the difference were statistically significant(P<0.05).There was no significant difference in FAZ perimeter,FAZ area and CI between the two groups at 7,14 d and 1 month after operation(P>0.05).The SVC-FVD,SVC-VD,DVC-FVD at 14 d and 1 month after operation and DVC-VD at 1 month after operation in the air group were higher than those in the silicone oil group,and the difference were statistically significant(P<0.05).Conclusion:PPV combined with air or silicone oil filling can be effective in the treatment of RRD with macular detachment.Among them,air filling is better for the improvement of visual acuity and macular microvascular blood flow density.

关 键 词：黄斑脱离 视网膜脱离 玻璃体切割术 空气填充术 硅油填充术 

分 类 号：R774[医药卫生—眼科]