本文選題：增殖性糖尿病視網膜病變 + 玻璃體切割術��； 參考：《瀘州醫(yī)學院學報》2016年04期

【摘要】：目的:探究增殖性糖尿病視網膜病變(proliferative diabetic retinopathy,PDR)玻璃體切割術后早期高眼壓的相關危險因素,為增殖性糖尿病視網膜病變手術治療提供合理的臨床指導。方法:回顧性分析2013年7月至2015年11月在我院進行玻璃體切割術的85例(112眼)PDR患者術后兩周內的眼壓情況,并且對臨床引發(fā)高眼壓的相關因素進行系統(tǒng)性的分析。結果:PDR患者在玻璃體切割術后高眼壓的發(fā)生率為29.4%(33眼),不同手術方式高眼壓的發(fā)生率差異有統(tǒng)計學意義(P0.01)。PDR分期呈現(xiàn)Ⅵ期Ⅴ期Ⅳ期的趨勢,差異具有統(tǒng)計學意義(P=0.021)。眼內填充平衡液時高眼壓的發(fā)生率15.4%,較硅油(37.8%)和全氟丙烷C3F8(47.8%)填充明顯偏低(P0.01),術后出血組高眼壓的發(fā)生率為83.3%,明顯高于術后無出血組(P0.01)。多因素Logistics回歸分析表明手術方式、眼內填充物、術后出血為影響PDR患者玻璃體切割術后高眼壓的獨立危險因素。結論:選擇23G玻璃體切割術,避免術后出血,眼內以平衡液填充可以有效降低PDR患者在玻璃體切割術后早期高眼壓的發(fā)生率。
[Abstract]:Objective: to investigate the risk factors of high intraocular pressure (IOP) after vitrectomy with proliferative diabetic retinopathy (PDR) in order to provide reasonable clinical guidance for the surgical treatment of proliferative diabetic retinopathy. Methods: the intraocular pressure (IOP) of 85 cases (112 eyes) of PDR who underwent vitrectomy from July 2013 to November 2015 in our hospital were analyzed retrospectively. Results the incidence of high intraocular pressure after vitrectomy was 29.44% and 33 eyes respectively. There was a significant difference in the incidence of high intraocular pressure among different surgical methods. There was a trend of stage 鈪，

本文編號：1823032