摘要
目的观察早期液气交换治疗经玻璃体切除术后未闭合特发性黄斑裂孔的效果。方法选择2018年1月至2021年12月德州京德眼科医院收治的62例玻璃体切除术后特发性黄斑裂孔未闭合女性患者,采用随机数字表法将其分为研究组和对照组,每组各31例。研究组采用早期液气交换治疗,对照组再次采用玻璃体切除术、内界膜扩大范围剥除术、气体填充治疗。治疗后比较两组的特发性黄斑裂孔闭合情况、并发症发生情况及复发情况。结果研究组的愈合率为100.00%,高于对照组的67.74%,差异有统计学意义(P<0.05)。研究组的并发症发生率(9.68%,3/31)低于对照组(41.94%,13/31),差异有统计学意义(P<0.05)。研究组的复发率(0.00%)低于对照组(22.58%,7/31),差异有统计学意义(P<0.05)。结论对玻璃体切除术后特发性黄斑裂孔未闭合者,相对于传统治疗方法,采用早期液气交换治疗能显著提高裂孔闭合,降低并发症发生率,避免复发,值得临床推广应用。
Objective To observe the effect of early liquid-gas exchange in the treatment of unclosed idiopathic macular hole after vitrectomy.Methods A total of 62 female patients with unclosed idiopathic macular holes after vitrectomy treated in Dezhou Jingde Eye Hospital from January 2018 to December 2021 were selected and divided into the study group and the control group according to random number table method,31 cases in each group.The study group was treated with early liquid-gas exchange,the control group was treated with vitrectomy,extended excision of internal limiting membrane,and gas filling.After treatment,the closure,complications and recurrence of idiopathic macular hole were compared between the two groups.Results The healing rate in the study group was 100.00%,higher than that in the control group(67.74%),the difference was statistically significant(P<0.05).The incidence of complications in the study(9.68%,3/31)was lower than that in the control group(41.94%,13/31),the difference was statistically significant(P<0.05).The recurrence rate of the study group(0.00%)was lower than that of the control group(22.58%,7/31),the difference was statistically significant(P<0.05).Conclusion For patients with unclosed idiopathic macular hole after vitrectomy,compared with traditional treatment methods,early liquid-gas exchange therapy can significantly improve hole clos ure,reduce the incidence of complications,avoid recurrence,w hich is worthy of clinical application.
作者
刘凯
张岩
LIU Kai;ZHANG Yan(Department of Ophthalmology,Dezhou Jingde Eye Hospital,Shandong Province,Dezhou 253000,China)
出处
《妇儿健康导刊》
2022年第8期47-50,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
