摘要
目的探讨微创玻璃体切割联合超声乳化术治疗增生性糖尿病视网膜病变(proliferative diabetic retinopathy,PDR)的疗效。方法选择2011年1月至2012年12月我院收治的PDR患者120例(142眼),均给予玻璃体切割联合超声乳化吸出人工晶状体植入术治疗,根据手术切口不同随机分为微创切口的观察组(60例70眼)和常规切口的对照组(60例72眼)。术中观察并记录两组患者的生命体征,术后观察两组患者的并发症情况。术前和术后1周、2周、3周和4周检测两组患者的视力和角膜散光情况。结果两组术中收缩压、舒张压及心率比较,差异均无统计学意义(均为P>0.05);观察组术后角膜水肿(8.33%)、角膜混浊(3.33%)、虹膜粘连(1.67%)发生率均明显低于对照组(13.33%、6.67%、3.33%),差异均有统计学意义(均为P<0.05)。观察组、对照组术后1周、2周、3周和4周视力较术前显著增加,角膜散光较术前显著降低,差异均有统计学意义(均为P<0.05);观察组术后1周、2周、3周和4周视力高于对照组,角膜散光低于对照组,差异均有统计学意义(均为P<0.05)。结论微创玻璃体切割联合超声乳化术治疗PDR能够促进视力恢复,减少并发症发生。
Objective To study the efficacy of minimally invasive vitrectomy combined with phacoemulsification for proliferative diabetic retinopathy（PDR）. Methods A total of 120 patients （ 142 eyes） with PDR during January 2011 and December 2012 in our hospital were enrolled and randomly divided into observation group（50 cases,70 eyes, receiving minimally invasive treatment）and control group （50 cases, 72 eyes, receiving conventional incision treatment ）. The vital signs of patients in two groups during operation were recorded, and the postoperative complication was observed. The visual acuity at pre-operation and postoperative 1 week, 2 weeks, 3 weeks and 4 weeks in two groups were examined, and the astigmatism was also detected. Resuits There was no statistical difference in SBP, DBP and HR during operation between two groups（ all P 〉 0.05 ）. The incidence of corneal edema（ 8.33% ）, corneal opacity（3. 33% ） and iris adhesion （ 1. 57% ） in observation group were all lower than those （ 13.33% , 6.67% , 3.33% ）in control group （all P 〈 0. 05）. The visual acuity at post- operative 1 week,2 weeks,3 weeks and 4 weeks in two groups were all better than preoperation,the corneal astigmatism were lower than pre-operation （ all P 〈 0.05 ）. The visual acuity at postoperative 1 week, 2 weeks, 3 weeks and 4 weeks in observation group were better than those in control group, and the corneal astigmatism were lower than control group （ all P 〈 0.05 ）. Couelusiou Minimally invasive vitrectomy combined with phacoemuisification for PDR can promote the visual acuity recovery and reduce the postoperative complications.
出处
《眼科新进展》
CAS
北大核心
2014年第6期577-579,共3页
Recent Advances in Ophthalmology
