摘要
目的探讨结膜小切15应用于硅油取出术的临床效果。方法回顾性分析2010年1月至2011年12月行硅油取出术78例79眼的临床资料，按手术方式分为A、B两组，A组29例30只眼，采用改良结膜小切口完成硅油取出术，B组49例49只眼，采用常规结膜切15完成硅油取出术，术后观察5天。结果两组手术时间差异无统计学意义（P=0．306）；术后1天、3天B组低眼压者明显多于A组，差异具有统计学意义（P=0．037、O．044），术后5天两组眼压间比较差异无统计学意义（P=0．055）；术后1天、3天、5天B组结膜充血程度较重，差异具有统计学意义（P=0．006、0．001、0．002）；术后1天、3天、5天两组角膜水肿程度比较差异无统计学意义（P=0．072、0．212、0．163）；术后第1天B组房水细胞数量较多，差异具有统计学意义（P=0．035），术后第3天、5天房水细胞比较无统计学意义（P=0．192、O．257）；术后第3天、5天A组患者舒适度高于B组，两组差异具有统计学意义（P=0．032、0．048）。结论结膜小切15改良应用于硅油取出术，手术损伤小，术后反应轻，恢复快。
Objective To observe the clinical effect of improved small incision in silicone oil re- moval. Methods The retrospective study included 79 eyes of 78 patients who underwent the remov- al of silicone oil from January 2010 to January 2012 in our hospital. The patients were divided into 2 groups according to the surgery methods. Group A： silicone oil removal using improved small inci- sion were performed on 29 cases （30 eyes）. Group B： silicone oil removal using conventional inci- sion and conjunctiva cauterization. The follow-up period included 5 days. Results The procedure was smooth in all cases. Time consumed had no difference between two groups （P =0.306）. The hy- potension proportion of group A was significantly less than group B at 1 day, 3 days postoperative （P =0.037, 0.004）, and then returned to no significant difference at 5 days postoperative （P =0.055）. The difference in conjunctival congestion between two groups was statistically significant at 1 day, 3 days, 5 days postoperative （P =0.006, 0.001, 0.002）. The corneal edema of group A at postoperative had no significant statistical difference compared with group B （P =0.072, 0.212, 0.163）. The aque- ous humor cell of group A was less than group B at 1 day postoperative （P =0.035）. There was no significant difference at neither 3 days nor 5 days （P =0.192, 0.257）. Group B＇s discomforts were significantly more serious than group A at 3 days, 5 days postoperative （P =0.032, 0.048）. Conclu- sions ＇The removal of silicone oil using improved small incision reduce surgical trauma, hasten post- operative recovery and comfort level of patients.
出处
《中国实用眼科杂志》
CSCD
北大核心
2013年第1期65-68,共4页
Chinese Journal of Practical Ophthalmology
