摘要
目的比较治疗黄斑前膜前后段联合微创手术与传统手术的疗效。方法对我院2014年3月至2015年10月行黄斑前膜手术46例（46眼）临床资料进行回顾性研究。患者按随机数表法分为两组：微创组23例接受微创23G前后段联合手术；传统组23例接受传统切口20G手术。术后随访9个月，比较两组手术效果。结果术后两组黄斑中心凹厚度、最佳矫正视力的差异均无统计学意义（t=1．195，t=1．837；P〉0．05）；微创组手术时间较短、并发症发生率较低，与传统组差异有统计学意义（t=9．376，P=0．000）。结论微创前后段联合手术安全性较高、患者恢复较快。
Objective To compare the efficacy between minimally invasive combined anterior and posterior approach surgery and traditional surgery for the treatment of macular epiretinal membrane. Methods The data of 46 eyes of 46 cases with macular epiretinal membrane, from Mar. 2014 to Oct. 2014, were collected and retrospectively analyzed. All cases were randomly divided into observation group and the control group. The observation group, 23 cases, underwent 23 G minimally invasive combined anterior and posterior segment surgery; the control group, 23 cases, received 20 G traditional incision surgery. The follow-up time was 9 months. The efficacy between the two groups were compared. Results The difference of postoperative center macular thickness and best corrected visual acuity between the two groups were not significant （ P 〉 0.05 ）. In observation group the operation time was shorter and the complication rate was lower than those in control group （ P 〈 0.05 ）. Conclusion Minimally invasive combined anterior and posterior segment surgery is effective with higher safety and faster postoperative recovery.
出处
《中华眼外伤职业眼病杂志》
2017年第11期864-866,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
黄斑前膜
前后段联合手术
微创
传统切VI
Membrane, epiretinal, macular
Combined surgery, anterior and posterior segment,minimally invasive
Incision, traditional
