白内障手术后单纯性孔源性视网膜脱离手术治疗效果分析.docVIP

白内障手术后单纯性孔源性视网膜脱离手术治疗效果分析 　　[摘要]目的 分析白内障手术后单纯性孔源性视网膜脱离手术治疗的效果。方法 选自该院收治的白内障手术后单纯性孔源性视网膜脱离患者94例，随机分为两组，对照组予以巩膜扣带术，研究组予以玻璃体切割术，对比两种手术治疗的有效性与安全性。结果 两组视网膜初次复位率无明显差异，但研究组视网膜最终复位率明显高于对照组（P0.05）。两组术后的黄斑前膜、脉络膜脱离、黄斑囊样水肿、复视、眼外肌运动功能障碍等并发症发生率明显高于研究组（P0.05）。结论 相较于巩膜扣带术，白内障手术后单纯性孔源性视网膜脱离患者应用玻璃体切割术治疗具有更高复位率，且复视、眼外肌运动功能障碍等并发症发生率较低。 　　[关键词]视网膜脱离；手术治疗；效果 　　[中图分类号]R774.1 [文献标识码]A [文章编号]1674-0742（2015）03（c）-0005-02 　　[Abstract] Objective To analyze the effect of surgical treatment for simple rhegmatogenous retinal detachment after cataract surgery. Methods 94 cases with simple rhegmatogenous retinal detachment after cataract surgery admitted in our hospital were selected and randomly divided into two groups. The control group were treated by scleral buckling， and the study group were treated by vitrectomy. And the efficacy and safety of the two surgical methods were compared. Results There was no significant difference in the initial retinal reattachment rate between the two groups， however， the final retinal reattachment rate in the observation group was significantly higher than that in the control group（P0.05）. The incidence of macular epiretinal membrane， choroidal detachment， cystoid macular edema， diplopia， and extraocular muscle movement dysfunction in the control group was significantly higher than that in the observation group， respectively（P0.05）. Conclusion For patients with simple rhegmatogenous retinal detachment after cataract surgery， vitrectomy has higher retinal reattachment rate and lower incidence of diplopia， extraocular muscle movement dysfunction and other complications compared with scleral buckling. 　　[Key words] Retinal detachment； Surgical treatment； Effect 　　单纯性孔源性视网膜脱离属于眼科的常见疾病之一，对患者视功能具有严重影响，且具有较高致盲率，属于眼科医师面临的医学难题之一。据相关文献报道，0.32%～1%的白内障患者术后存在孔源性视网膜脱离，目前临床治疗主要以手术为主[1]。为探究白内障手术后单纯性孔源性视网膜脱离手术治疗的效果，该研究选取2013年7月―2014年7月间该院收治的94例患者，分别予以玻璃体切割术与巩膜扣带术，对比两组术后疗效与并发症发生情况，报道如下。 　　1 资料与方法 　　1.1 一般资料 　　资料随机选自该院收治的白内障手术后单纯性孔源性视网膜脱离患者94例，患者病情诊断与分级均符合1983年美国制定的增生性玻