摘要
目的:比较开放性眼外伤伴视网膜脱离患者不同时期接受Ⅱ期微创玻璃体手术的临床疗效。方法:回顾性选取2020年1月-2022年1月福州东南眼科医院(金山新院)收治的86例开放性眼外伤伴视网膜脱离患者为研究对象。按照Ⅱ期微创玻璃体手术不同手术时期将其分为对照组和试验组,各43例。两组均在入院后完善相关检查,确诊为开放性眼外伤伴视网膜脱离后,立即开展急诊Ⅰ期手术(Ⅰ期清创缝合术)。Ⅰ期清创缝合术完成后,两组均进行Ⅱ期微创玻璃体手术。对照组在患者受伤后7~14 d进行手术,试验组在患者受伤后6 d内进行手术。比较两组术后3个月视网膜复位率、并发症发生率,术后1个月视力恢复情况。结果:术后3个月,试验组视网膜复位成功率为100%,明显高于对照组的90.70%(P<0.05)。术后1个月,试验组视力恢复总有效率高于对照组(P<0.05)。术后3个月,试验组并发症发生率明显低于对照组(P<0.05)。结论:开放性眼外伤伴视网膜脱离患者受伤后6 d内进行Ⅱ期微创玻璃体手术临床效果更好,能够提高视网膜复位率、促进视力恢复,同时可降低并发症发生率。
Objective:To compare the clinical effects of stageⅡminimally invasive vitreous surgery accepted in patients with open ocular trauma and retinal detachment in different stages.Method:From January 2020 to January 2022,86 patients with open ocular trauma and retinal detachment admitted to Fuzhou Southeast Eye Hospital(Jinshan New Hospital)were selected retrospectively as the study subjects.According to the different surgery periods of stageⅡminimally invasive vitreous surgery,they were divided into control group and test group,43 patients in each group.Both groups completed relevant examinations after admission,and immediately carried out emergency stageⅠsurgery(stageⅠdebridement and suture surgery)after diagnosed as open ocular trauma and retinal detachment.After the completed stageⅠdebridement and suture surgery,the two groups underwent the stageⅡminimally invasive vitreous surgery.The control group were operated within 7-14 days after patients injury,and the test group were operated within 6 days after patients injury.The retinal restoration rate and the incidence of complication 3 months after operation,vision recovery condition 1 month after operation were compared between the two groups.Result:Three months after operation,the successful rate of retinal restoration in the test group was 100%,which was significantly higher than 90.70%in the control group(P<0.05).One months after operation,the total effective rate of vision recovery in the test group was higher than that in the control group(P<0.05).Three months after operation,the incidence of complications in the test group was significantly lower than that in the control group(P<0.05).Conclusion:StageⅡminimally invasive vitreous surgery for patients with open ocular trauma and retinal detachment within 6 days after injury has better clinical effect,which can improve the retinal restoration rate,promote vision recovery,and reduce the incidence of complications.
作者
刘进清
LIU Jinqing(Fuzhou Southeast Eye Hospital(Jinshan New Hospital),Fuzhou 350028,China)
出处
《中外医学研究》
2022年第31期124-127,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
开放性眼外伤
视网膜脱离
Ⅱ期微创玻璃体手术
临床疗效
Open ocular trauma
Retinal detachment
StageⅡminimally invasive vitreous surgery
Clinical effect
