摘要
目的探讨25G玻璃体切割术治疗孔源性视网膜脱离患者的临床疗效和安全性研究。方法本文选择我院2013年5月~2016年5月收治的视网膜脱离患者,其中20例给予25G玻璃体切割术进行治疗,随访1年。观察记录患者手术及视网膜解剖复位情况、手术前后不同时间点的最佳矫正视力及眼压情况、术中及术后并发症发生情况。结果所有患者均顺利完成手术;硅油填充者19例19眼(95.00%),C3F8气体填充者1例1眼(5.00%);术后可吸收线缝合2例2眼(10.00%);视网膜一次性手术成功复位者19例19眼,成功复位率95.00%。三个不同的治疗时间点,患者最佳矫正视力、眼压均存在统计学差异(P <0.05);与术前比较,术后1周及末次随访时的最佳矫正视力、眼压均优于术前(P <0.05);且末次随访恢复更好(P <0.05)。术中并发症发生率5.00%,术后并发症发生率40.00%。结论 25G玻璃体切割术治疗RRD临床效果较好,视网膜解剖复位成功率高,手术时间短,可有效恢复患者眼压及视力水平,安全性较高,值得临床推广应用。
Objective This study aims to investigate the clinical efficacy of 25 G vitrectomy in the treatment of rhegmatogenous retinal detachment(RRD). Methods 20 patients admitted to our hospital from May 2013 to May 2016 were treated with 25 G vitrectomy, and followed up for one year. The situation of operation and anatomical reduction of retina, the best different time points of corrected visual acuity and the intraocular pressure before and after operation, intraoperative and postoperative complication was observed and recorded. Results All patients completed the operation successfully, with an average operation time of(53.47±7.28)min. 19 eyes(95.00%) were filled with silicone oil, 1 eye(5.00%) were filled with C3 F8 gas. 2 eyes(10.00%) were sutured with absorbable sutures. 19 eyes(95.00%) were successfully reattached after one-time retinal surgery. There were statistical differences in the best corrected visual acuity and intraocular pressure at three different treatment time points(P <0.05). Compared with preoperative, the best corrected visual acuity and intraocular pressure at the first week and the last follow-up after operation were better than those before operation, respectively(P <0.05), and it was recovery better at the last follow-up(P <0.05). The incidence of intraoperative complications was 5.00%, and that of postoperative complications was 40.00%. Conclusion 25 G vitrectomy has obvious clinical effect in the treatment of RRD, following high success rate and short operation time. It can effectively restore the intraocular pressure and visual acuity. It is safe and worthy of popularization and application.
作者
索南措
李新章
解靖
Suo Nancuo;Li Xinzhang;Jie Jing(Qinghai Red Cross Hospital,Qinhai,Xining,810001)
出处
《首都食品与医药》
2020年第2期47-48,共2页
Capital Food Medicine
关键词
25G玻璃体切割术
孔源性视网膜脱离
解剖复位
视网膜裂孔
眼压
25G vitrectomy
rhegmatogenous retinal detachment
anatomical reduction
retinal hole
intraocular pressure
