玻璃体切割术治疗增殖性糖尿病视网膜病变的临床疗效分析.docVIP

精品论文 参考文献 玻璃体切割术治疗增殖性糖尿病视网膜病变的临床疗效分析 彭启隆 (湖南省株洲市三三一爱尔眼科医院 412002) 【中图分类号】R774.1 【文献标识码】A【文章编号】1672-5085（2013）09-0420-03 【摘要】 目的 研究玻璃体切割术(PPV)对增殖性糖尿病视网膜病变(PDR)的临床疗效。方法 回顾性分析行玻璃体切割术的83例(95眼)PDR患者的临床资料。患者均行玻璃体切割术加眼内光凝术，并根据具体情况加行巩膜外环扎、巩膜外硅胶垫压、C3F8填充或硅油填充。结果 术后视力改善56只眼，其中Ⅳ期11只眼(84.62％)，Ⅴ期24只眼(64.86％)，Ⅵ期21只眼(46.67％)。 不同分期的糖尿病视网膜病变，其术后视力改善的差异有统计学意义(x2=6.878，Plt;0.05)；术后主要并发症有继发性高眼压、玻璃体腔再出血、并发性白内障。结论 玻璃体切割术是治疗增殖性糖尿病视网膜病变的有效手段；尽早手术治疗对增殖??糖尿病视网膜病变愈后有重要意义。 【关键词】增殖性糖尿病视网膜病变 玻璃体切割术 视网膜光凝术 Analysis of clinical efficacy of vitrectomy for treatment of proliferative diabetic retinopathy 【Abstract】Objective: To study the effect of vitrectomy ( PPV ) on proliferative diabetic retinopathy ( PDR ) clinical curative effect. Methods: a retrospective analysis of 83 cases of vitrectomy (95 eyes ) of the clinical data of patients with PDR. Patients underwent vitrectomy combined with intraocular photocoagulation, and according to the specific case underwent scleral encircling, scleral silica gel pad, C3F8 filling or silicone oil tamponade. Results: postoperative improvement in 56 eyes, including 11 eyes ( 84.62% ) at stage Ⅳ,Ⅴ stage in 24 eyes ( 64.86% ), 21 eyes ( 46.67% ) stage VI. Different stages of diabetic retinopathy, the difference was statistically significant . The postoperative visual acuity improved ( x2=6.878, Plt;0.05); the main postoperative complications were secondary high IOP, vitreous hemorrhage, complicated cataract. Conclusion: vitrectomy is an effective method in the treatment of proliferative diabetic retinopathy; early operation treatment is important for proliferative diabetic retinopathy after healing. 【Key words】proliferative diabetic retinopathy vitrectomy Pnretinal photocoagulation 增殖性糖尿病视网膜病变(proliferative diabetic retinopat hy，PDR)是一种致盲性眼病，其发生率逐年增加。绝大多数PDR患者因屈光间质混浊，难以行视网膜光凝术。玻璃体切割术可以为视网膜光凝术创造条件，是治疗增殖性糖尿病视网膜病变(PDR)的有效手段。我们对一组PDR患者进行了玻璃体切割术，并对这些患者的疗效及并发症进行回顾性分析，现将结果报道如下。 1 资料与方法 1.1 一般资料 选取2009年4月至2011年10月由本院同一术者完成玻璃体切割术治疗PD