【摘要】：【目的】分析20G與23G玻璃體切割手術治療后段眼內異物的臨床療效,探討兩者有效性及安全性差異。【方法】回顧性病例研究。選取接受不同玻璃體切割手術治療的后段眼內異物71例71只眼,根據術式不同分為20G玻璃體切割手術組(20G組)及23G玻璃體切割手術組(23G組),前者37例37只眼,后者34例34只眼。對象均予創(chuàng)口縫合,合并外傷性白內障者聯(lián)合白內障手術,行20G/23G玻璃體切割聯(lián)合球內異物取出,術中酌情行視網膜激光光凝、冷凝及眼內填充治療。記錄異物取出及視網膜復位情況、手術時間、術后炎癥反應及眼部刺激癥狀、住院時間、最佳矯正視力以及術后并發(fā)癥等情況,隨訪至少6個月�！窘Y果】兩組眼內異物取出率及初期視網膜復位率均100%;除術后低眼壓發(fā)生率兩組比較差異有統(tǒng)計學意義(P0.05)外,其余并發(fā)癥比較差異均無統(tǒng)計學意義(P0.05)。兩組的手術時間、平均住院日、術后炎癥反應評分與眼部刺激癥狀以及兩組手術前后的視力分布進行自身比較,差異有統(tǒng)計學意義(P0.05)。至末次隨訪,兩組各自接受的非計劃再次手術例數(shù)、視網膜復位情況以及術后視力分布情況比較,差異均無統(tǒng)計學意義(P0.05)�！窘Y論】20G與23G玻璃體切割手術治療后段眼內異物均安全有效,兩者臨床療效及手術安全性相當;23G組術后低眼壓發(fā)生率更高,但在縮短手術時間及住院時間、減輕術后炎癥反應及眼部刺激癥狀方面較20G組更有優(yōu)勢。
[Abstract]:[objective] to analyze the efficacy and safety of 20 G and 23 G vitrectomy for posterior intraocular foreign bodies. [methods] retrospective study. 71 cases (71 eyes) of posterior intraocular foreign bodies treated with different vitrectomy were divided into 20G vitrectomy group (20G group) and 23G vitrectomy group (23G group). There were 37 eyes in 37 cases and 34 eyes in 34 cases in the latter group. All patients were treated with wound suture, traumatic cataract combined with cataract surgery, 20G/23G vitrectomy and extraction of intraocular foreign bodies. Retinal laser photocoagulation, condensation and intraocular filling were performed as appropriate. Foreign body removal and retinal reattachment, operation time, postoperative inflammatory reaction and ocular irritation symptoms, hospital stay, best corrected visual acuity and postoperative complications were recorded. [results] the removal rate of intraocular foreign bodies and the initial retinal reattachment rate were 100 in both groups, except the incidence of low intraocular pressure in the two groups (P0.05), but there was no significant difference in other complications (P0.05). The operation time, average hospital stay, postoperative inflammatory response score, ocular irritation symptoms and visual acuity distribution before and after operation were compared between the two groups. The difference was statistically significant (P0.05). To the last follow-up, the number of unplanned reoperation cases, retinal reattachment and visual acuity distribution were compared between the two groups. [conclusion] both 20G and 23G vitrectomy are safe and effective in the treatment of posterior intraocular foreign bodies. The clinical efficacy and safety of the two groups are similar to those of the 23G group, and the incidence of low intraocular pressure is higher in the 23G group. But it has more advantages than 20G group in shortening operation time and hospitalization time, reducing postoperative inflammatory reaction and ocular irritation symptoms.
【作者單位】： 溫州醫(yī)科大學附屬臺州醫(yī)院眼科;溫州醫(yī)科大學附屬第二醫(yī)院眼科;
【分類號】：R779.6

【參考文獻】

相關期刊論文 前10條

1 陳玄之;苗曉晴;黃文婕;;經結膜無縫線23G玻璃體切割手術在玻璃體視網膜疾病中的應用研究[J];中華眼科醫(yī)學雜志(電子版);2014年06期

2 劉海洋;李u&雁;張正培;范巍;;改良異物取出口在23G微創(chuàng)玻璃體切割手術治療眼球內異物中的應用[J];黑龍江醫(yī)學;2014年11期

3 李u&雁;劉莎;張正培;季蘇娟;劉海洋;;23G微創(chuàng)玻璃體手術鞏膜切口滲漏的預防研究[J];中華眼視光學與視覺科學雜志;2014年02期

4 Zufeng Huang;Linxing Chen;Yingyu Zeng;Caimei Lin;;Clinical Features of Perforating Eye Injuries Complicated with Intraocular Foreign Bodies Located at the Posterior Global Wall[J];Eye Science;2013年04期

5 程朝暉;胡博杰;劉巨平;李筱榮;;23G玻璃體切割手術相關并發(fā)癥分析[J];中華眼底病雜志;2012年02期

6 項振揚;洪彬;O菩∶，

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