摘要
目的:分析23G玻璃体视网膜手术联合空气填充治疗孔源性视网膜脱离的临床效果。方法:选取2015年1月-2020年3月本院收治的98例孔源性视网膜脱离患者,按照随机数字表法将其随机分为硅油组和气体组,每组49例,每组患眼49眼。两组均行23G玻璃体视网膜手术,硅油组采用硅油填充,气体组采用气体填充。比较两组手术指标、并发症发生情况;比较两组术后3、6个月视网膜脱离复发情况;比较两组术前及术后1、3、6个月视力情况。结果:气体组术后俯卧位时间短于硅油组,差异有统计学意义(P<0.05)。两组手术时间比较,差异无统计学意义(P>0.05)。术前,两组视力比较,差异无统计学意义(P>0.05);术后1、3、6个月,两组视力均优于术前,且气体组均优于硅油组,差异均有统计学意义(P<0.05)。术后3、6个月,两组视网膜脱离复发率比较,差异均无统计学意义(P>0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:23G玻璃体视网膜手术联合空气填充治疗孔源性视网膜脱离的临床效果较好,能够缩短术后俯卧位体位的时间,促进患者术后视力的康复,值得临床上推广应用。
Objective:To analyze the clinical efficacy of 23G vitreoretinal surgery combined with air filling in the treatment of rhegmatogenous retinal detachment.Method:A total of 98 patients with rhegmatogenous retinal detachment admitted to our hospital from January 2015 to March 2020 were selected,they were randomly divided into silicone oil group and air group according to random number table method,49 cases in each group and 49 eyes in each group.Both groups received 23G vitreoretinal surgery.Silicone oil group was filled with silicone oil,and air group was filled with air.Surgical indexes and complications were compared between two groups.Relapse of retinal detachment at 3 and 6 months after surgery were compared between two groups.Visual acuity before surgery and 1,3 and 6 months after surgery were compared between two groups.Result:The postoperative prone position time of the air group was shorter than that of the silicone oil group,the difference was statistically significant(P<0.05).There was no significant difference in surgical time between two groups(P>0.05).Before surgery,there was no significant difference in visual acuity between two groups(P>0.05);1,3 and 6 months after surgery,the visual acuity of both groups were better than those before surgery,and those of the air group were better than those of the silicone oil group,the differences were statistically significant(P<0.05).There was no significant difference in relapse of retinal detachment rate between two groups at 3 and 6 months after surgery(P>0.05).There was no significant difference in the incidence of complications between two groups(P>0.05).Conclusion:23G vitreoretinal surgery combined with air filling has a good clinical effect in the treatment of rhegmatogenous retinal detachment,which can shorten the postoperative prone position time,promotes the recovery of postoperative visual acuity,which is worthy of clinical application.
作者
郑元建
朱月莹
袁钊华
ZHENG Yuanjian;ZHU Yueying;YUAN Zhaohua(The Sixth People’s Hospital of Huizhou City,Huizhou 516200,China;不详)
出处
《中外医学研究》
2021年第33期5-8,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
