摘要
目的比较显微外路手术与传统外路手术治疗视网膜脱离的临床效果。方法选取2009年4月至2011年10月在我院眼科住院治疗的60例(60眼)孔源性视网膜脱离患者,随机分为试验组(31例)和对照组(29例),分别行显微外路手术和传统外路手术。比较两组患者视网膜一次复位成功率及随访末期视力提高率及闭孔封闭率,同时比较发生并发症的患者比例。结果试验组28例患者一次复位成功,成功率为90.3%;对照组22例一次复位成功,成功率为75.9%;试验组一次复位成功率明显大于对照组,差异有统计学意义(P<0.05)。对照组视力提高率(69.0%)及裂孔封闭率(72.4%)均明显低于试验组,差异均有统计学意义(均为P<0.05)。对照组各并发症发生率均明显高于试验组,差异均有统计学意义(均为P<0.05)。结论显微外路手术治疗孔源性视网膜脱离患者的临床疗效显著高于传统外路手术,并发症发生率低。
Objective To compare the effects of external approach microsurgery and conventional external approach surgery for retinal detachment. Methods From April 2009 to October 2011,60 patients（60 eyes） with rhegmatogenous retinal detach- ment in our hospital were randomly divided into experimental group （31 cases） and control group （ 29 cases）, the external approach microsurgery group and conventional external approach surgery were performed, respectively. The once retinal reattachment rate,visual acuity improvement rate and hole closed rate at the final follow up were compared between two groups, and the incidence of complication between two groups was also compared. Results The once successful retinal reattachment rate in experi- mental group was 90.3% （28 cases）, which in control group was 75.9% （ 22 cases）, there was statistical difference（P 〈0.05 ）. The vision improvement rate and hole closed rate in control group were lower than those in experimental group ,there were statistical differences（ both P 〈 0.05 ）. The incidence of complications in control group were higher than that in experimental group, there were statistical differences （both P 〈 0.05）. Conclusion The curative effect of external approach microsurgery is significantly superior to the conventional external approach surgery for rhegmatogenous retinal detachment with few complications.
出处
《眼科新进展》
CAS
北大核心
2012年第11期1086-1088,共3页
Recent Advances in Ophthalmology
关键词
显微外路手术
传统外路手术
视网膜脱离
external approach microsurgery
conventional external approach sur-gery
retinal detachment
