[1]万文萃,刘宇莹,杨果果,等. 玻璃体切割联合黄斑加固术治疗高度近视合并黄斑裂孔性视网膜脱离[J].眼科新进展,2015,35(8):748-750.[doi:10.13389/j.cnki.rao.2015.0205]
　WAN Wen-Cui,LIU Yu-Ying,YANG Guo-Guo,et al. Vitrectomy combined with macular buckling for high myopia and macular hole retinal detachment[J].Recent Advances in Ophthalmology,2015,35(8):748-750.[doi:10.13389/j.cnki.rao.2015.0205]
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 玻璃体切割联合黄斑加固术治疗高度近视合并黄斑裂孔性视网膜脱离
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年8期
页码:
748-750
栏目:
应用研究
出版日期:
2015-08-05

文章信息/Info

Title:
 Vitrectomy combined with macular buckling for high myopia and macular hole retinal detachment
作者:
 万文萃; 刘宇莹; 杨果果; 庞雪娜; 尹向可; 金学民
 450052　河南省郑州市，郑州大学第一附属医院眼科
Author(s):
 WAN Wen-Cui;  LIU Yu-Ying;  YANG Guo-Guo;  PANG Xue-Na;  YIN Xiang-Ke ; JIN Xue-Min
 Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University , Zhengzhou 450052 . Henan Province . China
关键词:
 ; 黄斑加固术; 高度近视; 黄斑裂孔; 视网膜脱离
Keywords:
 ; macular buckling ;  high myopia ;  macular hole ;  retinal detachment
DOI:
10.13389/j.cnki.rao.2015.0205
文献标志码:
A
摘要:
 目的　观察玻璃体切割联合黄斑加固术治疗高度近视合并黄斑裂孔性视网膜脱离患者术后视网膜的解剖复位率和黄斑裂孔的闭合率。方法　收集自２０１２年１月至２０１４年１２月在我院手术的高度近视合并黄斑裂孔性视网膜脱离的患者６４例（６４眼），根据手术方式不同分成２组：一组行单纯玻璃体切割术为单纯玻切组，另一组行玻璃体切割联合黄斑加固术为联合手术组，观察两组视力及视网膜解剖复位率和黄斑裂孔闭合率。结果　６４例６４眼中，单纯玻切组３６例，术前视力平均为０．９０ｌｏｇＭＡＲ，术后平均为０．４１ｌｏｇＭＡＲ；联合手术组２８例，术前视力平均为０．８９ｌｏｇＭＡＲ，术后平均为０．６２ｌｏｇＭＡＲ；两组术前视力差异无统计学意义，术后差异有统计学意义（Ｐ＝０．０４）。两组患者术后视网膜复位均率为１００％；联合手术组的黄斑裂孔闭合率较高，为９２．９％，单纯玻切组为４１．７％，两组比较差异有统计学意义（Ｐ＝０．０２）。结论　在高度近视合并黄斑裂孔性视网膜脱离的患者中，联合行黄斑加固术较单纯玻璃体切割术患者的黄斑裂孔闭合率要高。
Abstract:
 Objective To observe the retinal anatomical reset rate and macular hole closure rate of vitrectomy combined with macular buckling and silicone oil tamponade for high myopia and macular hole retinal detachment. Methods A retrospective consecutive interventional study from medical records on 64 patients ( 64 eyes) who underwent vitrectomy with or without macular buckling in the treatment of retinal detachment associated with macular hole from January 2012 to December 2014 were performed,the patients were divided into two groups : Simple vitrectomy group ( 36 cases) and combined surgery group ( vitrectomy combined with macular buckling ,28 cases) ,the postoperative visual acuity , retinal anatomical reset rate and macular hole closure rate were observed. Results The preoperative visual acuity in simple vitrectomy group and combined surgery group were 0. 90 logMAR and 0. 89 logMAR , there was no statistical difference (P > 0. 05 ) ; The postoperative visual acuity in simple vitrectomy group and combined surgery group were 0. 41 logMAR and 0. 62 logMAR , there was statistical difference (P = 0. 04) . The postoperative retinal anatomical reset rate in the two groups were all 100% . and the postoperative macular hole closure rate in simple vitrectomy group and combined surgery group were 41. 7% and 92. g% , respectively, there was statistical difference (P = 0. 02) . Conclusion For patients with high myopia and macular hole retinal detachment, the postoperative macular hole closure rate of combined surgery is higher than that of simple vitrectomy.

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备注/Memo

备注/Memo:
 河南省科技攻关项目资助（编号：１２２１０２３１０２２７）
更新日期/Last Update: 2015-07-31