摘要
目的探讨黄斑裂孔性视网膜脱离和合并脉络膜脱离的治疗效果。方法对我院住院治疗的黄斑裂孔性视网膜脱离患者分为脉络膜脱离组(A组)和非脉络膜脱离组(B组),采用玻璃体切割术,对比术前视网膜脱离情况、术后脉络膜脱离复位率、视网膜脱离复位率和视力变化。结果术前视网膜脱离情况A组与B组相近(χ2=1.269,P>0.05),差异无统计学意义;A组和B组均能一次手术脉络膜脱离、视网膜脱离全部复位,B组术后2例再脱离;A组术后视力提高4例(26.7%),不变7例(46.7%),B组术后视力提高9例(45%),不变9例(45%),两组术后视力比较(χ2=0.000,P>0.05),差异无统计学意义。结论玻璃体切除术联合C3F8或硅油填充是治疗黄斑裂孔性视网膜脱离的有效方法,玻璃体切除术治疗伴与不伴脉络膜脱离的黄斑裂孔性视网膜脱离疗效无显著差异。
Aim To investigate the therapeutic effects of retinal detachment with macular hole and macular rhegmatogenous retinal detachment complicated with choroidal detachment.Methods The patients who were treated by vitrectomy were divided into choroidal detachment（group A）and no choridal detachment（group B）.During follow-up visit,retinal detachment and choroidal detachment resetting rate,visual acuity were observed.Results The condition of preoperative retinal detachment was close to each other between group A and group B（χ2=1.269,P〉0.05）.All cases of two groups could reset retinal detachment and choroidal detachment in one operation.Visual acuity improved in 4 eyes（26.7%）,7 eyes remained unchanged（46.7%）after operation in group A.Group B were 9 eyes（45%）and 9 eyes（45%）accordingly.The difference of vision improvement was not significant between those two groups（χ2=0.000,P〉0.05）.Conclusion Vitrectomy combined with C3F8 or silicone oil is an effective method in treating retinal detachment with macular hole.There is no significant curative effect difference between group A and group B by vitrectomy.
出处
《安徽医药》
CAS
2011年第8期978-980,共3页
Anhui Medical and Pharmaceutical Journal
