本文選題：脈絡(luò)膜脫離 + 視網(wǎng)膜脫離��； 參考：《眼科新進(jìn)展》2014年12期

【摘要】：目的探討曲安奈德玻璃體內(nèi)注射聯(lián)合23G微創(chuàng)玻璃體切割術(shù)治療脈絡(luò)膜脫離型視網(wǎng)膜脫離的療效。方法 2012年1月至2013年1月在我院就診的28例脈絡(luò)膜脫離型視網(wǎng)膜脫離患者,經(jīng)過(guò)術(shù)前短期糖皮質(zhì)激素治療后,行23G微創(chuàng)玻璃體切割術(shù)治療,術(shù)中聯(lián)合玻璃體內(nèi)注射曲安奈德4 mg,術(shù)后隨訪6~12個(gè)月,觀察術(shù)后視力恢復(fù)、視網(wǎng)膜復(fù)位和并發(fā)癥發(fā)生情況。結(jié)果一次手術(shù)視網(wǎng)膜解剖復(fù)位率為89.3%,再次術(shù)后視網(wǎng)膜解剖復(fù)位率100.0%。術(shù)前Log MAR視力為1.98±0.50,術(shù)后Log MAR視力為1.17±0.40,差異有統(tǒng)計(jì)學(xué)意義(t=8.371,P0.05)。末次隨訪眼壓(16.2±3.7)mm Hg(1 k Pa=7.5 mm Hg),與術(shù)前眼壓(6.4±2.3)mm Hg相比,差異有統(tǒng)計(jì)學(xué)意義(t=17.613,P0.05)。術(shù)后有15例出現(xiàn)一過(guò)性高眼壓,3例白內(nèi)障加重,1例發(fā)生后發(fā)性白內(nèi)障,5例術(shù)后少量結(jié)膜下出血。結(jié)論 23G微創(chuàng)玻璃體切割術(shù)聯(lián)合術(shù)中曲安奈德玻璃體內(nèi)注射治療脈絡(luò)膜脫離型視網(wǎng)膜脫離是安全有效的。
[Abstract]:Objective to evaluate the efficacy of triamcinolone acetonide intravitreous injection combined with 23 G minimally invasive vitrectomy in the treatment of choroidal detachment retinal detachment.Methods from January 2012 to January 2013, 28 patients with choroidal detachment retinal detachment were treated with 23 G minimally invasive vitrectomy after short-term glucocorticoid therapy.Intravitreous injection of triamcinolone acetonide 4 mg was followed up for 6 ~ 12 months to observe the recovery of visual acuity, retinal reattachment and complications.Results the anatomical reattachment rate of the retina was 89.3% in one operation, and 100.0% in the second operation.The visual acuity of Log MAR was 1.98 鹵0.50 before operation, and the visual acuity of Log MAR was 1.17 鹵0.40 after operation. The difference was statistically significant (P 0.05).The intraocular pressure of 16.2 鹵3.7)mm Hg(1 k Pa=7.5 Pa=7.5 was significantly higher than that of preoperative intraocular pressure of 6.4 鹵2.3)mm Hg (P 0.05).There were 15 cases of transient high intraocular pressure and 3 cases of cataract aggravation 1 case developed posterior cataract and 5 cases had a little subconjunctival hemorrhage after operation.Conclusion 23 G minimally invasive vitrectomy combined with intravitreal injection of triamcinolone acetonide is safe and effective in the treatment of choroidal detachment retinal detachment.
【作者單位】： 昆明醫(yī)科大學(xué)第四附屬醫(yī)院眼科;云南省第二人民醫(yī)院眼科;
【基金】：云南省教育廳科學(xué)研究基金項(xiàng)目(編號(hào):2011C079) 云南省衛(wèi)生科技計(jì)劃項(xiàng)目(編號(hào):2012WS0109) 云南省高層次衛(wèi)生技術(shù)人才培養(yǎng)專(zhuān)項(xiàng)經(jīng)費(fèi)資助~~
【分類(lèi)號(hào)】：R779.63

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本文編號(hào)：1738737