摘要
目的比较外伤性黄斑孔手术不同的玻璃体填充物的效果。方法对接受玻璃体切除术治疗的68例（68只眼）外伤性黄斑孔的临床资料进行回顾性研究，消毒空气（25例）、隋性气体14％C3F8（28例）和硅油（15例）作为玻璃体填充物，分析术后孔闭合、视力及相关并发症情况。结果术后孔闭合率空气组和C3F8组都较硅油组高（P=0．01，0．03），而两气体组之间比较差异无统计学意义（P=0．19）。术后视力提高率空气组和C3F8组高于硅油组（P=0．00，0．00），而两气体组之间比较差异无统计学意义（P=0．59）。硅油组术后并发性白内障的发生率较高（P=0．00，0．00）。结论消毒空气作为玻璃体填充物，在视力等方面的效果与14％C3F8相似，而硅油可能更适合选择性地用在一些特殊或复杂的病例。
Objective To compare the efficacy of different vitreous tamponade for the treatment of traumatic macular holes. Methods The clinical data of 68 eyes of 68 patients with traumatic macular hole were collected and analized retrospectively. All cases underwent vitrectomy, during surgery tamponaded with air in 25 patients, 14% C3F8 gas in 28 patients and silicone oil in 15 patients respectively. The closure rate of macular hole, visual acuity and complications were analyzed after surgery. Results The macular hole closure rates in air group and C3 F8 group were higher than those in silicone oil group （ P =0.01,0.03 ）, and the difference of macular hole closure rates were not statistically significant between air group and C3 Fs group （P =0.19）. The rate of visual acuity improvement in air group and C3F8 group were higher than that in silicone oil group （P = 0.00,0.00 ） , and the difference was not statistically significant between air group and C3F8 group（ P = 0.59）. The incidence of complicated cataract in silicon oil group was higher than that of other two groups （ P = 0.00,0.00 ）. Conclusion Vitrectomy combined with air tamponade for traumatic macular hole is effective in closure rate and vision improvement. The efficacy is similar with 14% C3F8 tamponade. Silicone oil may be selected in some especial or complicated cases.
出处
《中华眼外伤职业眼病杂志》
2018年第1期1-4,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
基金
山西省科技厅自然科学基金（2015011122）
