玻璃体切除术和巩膜扣带术治疗较复杂型孔源性视网膜脱离的临床疗效分析(1)
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【摘要】目的：探讨玻璃体切除术和巩膜扣带术治疗较复杂型孔源性视网膜脱离的临床疗效。方法：选择2009年1月到2010年1月来我院眼科就诊的61例原发性孔源性视网膜脱离患者，并将患者分为采用玻璃体切除术治疗的治疗组31例(31只眼)和采用巩膜扣带术治疗的对照组30例(31只眼)，随访6个月比较两组患者的治疗效果及并发症发生情况。结果：两组患者在一次性视网膜复位，最终视网膜比例，差异无明显的统计学意义(p>0.05)，而治疗组患者术后视力提高的患者比例明显高于对照组，差异有显著的统计学意义(p<0.01)，术后6个月对照组在眼轴长度变化，角膜散光度变化及屈光度变化情况均明显高于治疗组，差异有显著的统计学意义(p<0.01)，并且6个月内的并发症发，白内障，一过性高压眼的发生率治疗组明显高于对照组，差异有明显的统计学意义(p<0.05)，对照组黄斑部视网膜皱折，视物变形对照组发生率明显高于治疗组，差异有明显的统计学意义(p<0.05)。结论：玻璃体切除术治疗较复杂型孔源性视网膜脱离治疗效果方面优于的巩膜扣带术，并且并发症较轻，值得临床推广应用。
【关键词】孔源性视网膜脱离；玻璃体切除术；巩膜扣带术
【中图分类号】R774.1 【文献标识码】A 【文章编号】1008-6455(2011)12-0047-02
Comparison of the Therapeutic Effects of Pars Plana Vitrectomy and scleral buckling Treatment for more
complex rhegmatogenous retinal detachment
Liu Gang Ma Yinghui Hao Zhimin2 et al.
【Abstract】Objective: To Comparison of the Therapeutic Effects of Pars Plana Vitrectomy and scleral buckling Treatment for More Complex Rhegrnatogenous Retinal Detachment. Methods: 61 cases More Complex Rhegrnatogenous Retinal Detachment divided into the use of Pars Plana Vitrectomy for the treatment group 31 cases (31 eyes)and scleral buckling for the treatment of 30 cases(30 eyes) of the control group in our hospital in 2009 January to January 2010, patients were followed up for 6 months to compare two groups of patients with therapeutic effect. Results: retinal reattached rate between the two groups had no statistic difference (P<0.05,) while the treatment group patients postoperative visual acuity increase degree was significantly higher than the control group, there was significant difference is statistically significant (P<0.01), two groups preoperatively and after 6 months of axis oculi of the operation eye to change in the control group with the axial length changes, and corneal astigmatism diopter were significantly higher than the treatment group, differences were statistically significant (P<0.01), within 6 months of the complications, cataract, transient ocular hypertension incidence in treatment of group was significantly higher than that of the control group, the difference was statistically significant (P<0 ......
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