本文關鍵詞：改良式23G縫合切口與傳統(tǒng)23G硅油取出手術對比觀察，由筆耕文化傳播整理發(fā)布。

改良式23G縫合切口與傳統(tǒng)23G硅油取出手術對比觀察

Comparison of modified 23G with suturing incision and traditional 23G vitrectomy for silicone oil removal

[1] [2] [3] [4]

《Chinese Journal of Ocular Fundus Diseases》

[1] 第三軍醫(yī)大學大坪醫(yī)院野戰(zhàn)外科研究所眼科,重慶,400042; [2] 第三軍醫(yī)大學新橋醫(yī)院眼科,重慶,400042;

文章摘要：目的 對比觀察改良式23G縫合切口硅油取出手術的臨床療效及安全性.方法 前瞻性臨床研究.行硅油取出手術的臨床連續(xù)病例177例180只眼納入研究.其中,男性112例113只眼,女性65例67只眼;平均年齡（43.8＆#177;10.3）歲.平均硅油填充時間4.5個月.患者均行矯正視力、間接檢眼鏡、眼壓、B型超聲、光相干斷層掃描（OCT）檢查.患眼視網(wǎng)膜均在位.采用隨機數(shù)字表法將患眼分為傳統(tǒng)23G免縫合切口硅油取出手術組（A組）和改良式23G縫合切口硅油取出手術組（B組）.分別為88、92只眼.兩組患者性別（x^2=1.596）、平均年齡、平均矯正視力（￡=0.785）、平均眼壓（t=0.352）、原發(fā)疾�。▁^2=1.982）、晶狀體狀態(tài)（x^2=2.605）比較,差異均無統(tǒng)計學意義（P＞0.05）.手術結束時,記錄手術時間.觀察矯正視力、眼壓硅油殘留、脈絡膜脫離、視網(wǎng)膜再脫離以及眼內炎等并發(fā)癥發(fā)生情況.結果 A、B組平均手術時間比較,差異無統(tǒng)計學意義（t=1.950,P＞0.05）.手術后1 d（t=0.873）,1周（t=1.115）,3個月（t=0.141）平均矯正視力比較,差異無統(tǒng)計學意義（P＞0.05）.手術后1d,兩組間平均眼壓比較,差異有統(tǒng)計學意義（t=2.550,P＜0.05）;手術后1周（t=1.451）,3個月（t=1.062）平均眼壓比較,差異均無統(tǒng)計學意義（P＞0.05）.隨訪期間,A組患眼中發(fā)生低眼壓、脈絡膜脫離、玻璃體積血、視網(wǎng)膜再脫離和硅油殘留小滴為25、8、5、9、7只眼,分別占A組患眼的28.4％、9.1％、5.7％、10.2％、8.0％;B組患眼為5、2、2、8、1只眼,分別占B組患眼的5.4％、2.2％、2.2％、8.7％、1.1％.兩組患眼過一性低眼壓、脈絡膜脫離、硅油殘留小滴發(fā)生率比較,差異有統(tǒng)計學意義（P＜0.05）.隨訪中及末次隨訪時均未見眼內炎發(fā)生.結論 改良式23G縫合切口硅油取出手術可減少手術后低眼壓、脈絡膜脫離、殘留硅油小滴等并發(fā)癥的發(fā)生,安全性較好.

Abstr：Objective To compare the safety and efficacy of a modified 23G with suturing incision and traditional 23G vitrectomy for silicone oil removal.Methods A total of 177 patients （180 eyes） who underwent silicon oil removal （the average tamponade period was 4.5 months） were enrolled in this prospective study.The patients included 112 males （113） and 65 female （67）.The mean age was （43.8＆#177;10.3） years.The corrected vision,indirect ophthalmoscopy,intraocular pressure,B-ultrasound and optical coherence tomography were measured for all patients.All patients had no complete retinal detachment.The patients were randomly divided into modified 23G with suturing incision group （group A,88 eyes） and traditional 23G vitrectomy （group B,92 eyes）.The differences of sex （x2 =1.596）,age,corrected vision （t=0.785）,intraocular pressure （t=0.352）,primary disease （x2 =1.982） and lens condition （x2 =2.605）were not significant （P〉0.05）.The operation time,intraocular pressure,silicon oil retention,choroidal detachment,retinal redetachment and endoophthalmitis were recorded at the end of the operation.Results The difference of mean operation time was not significant between group A and B （t =1.950,P〉0.05）.The differences of mean visual acuity 1 day,1 week and 3 months after operation were not significant between group A and B （t=0.873,1.115,0.141; P〉0.05）.There was difference of mean intraocular pressure at 1 day after operation （t =2.550,P〈0.05）,but not at 1 week and 3 months after operation （t =1.451,1.062; P〉0.05） between group A and B.There were 25 eyes （28.4%） with intraocular hypotension,8 eyes （9.1%） with choroidal detachment,5 eyes （5.7 %） with vitreous hemorrhage,9 eyes （10.2 %） with retinal redetachment,and 7 eyes （8.0%） with silicon oil retention

文章關鍵詞：

Keyword：:Vitrectomy/methods Surgical procedures,minimally invasive/adverse effects Silicone oils

  本文關鍵詞：改良式23G縫合切口與傳統(tǒng)23G硅油取出手術對比觀察，，由筆耕文化傳播整理發(fā)布。