黄斑裂孔手术和白内障手术同时进行或序贯进行的研究（英文）

发布时间：2018-01-30 11:27

本文关键词： 黄斑裂孔超声乳化术 G微创玻璃体切除术　出处：《国际眼科杂志》2016年10期 　论文类型：期刊论文

【摘要】：目的:研究黄斑裂孔手术和白内障手术同时进行或序贯进行。方法:在大不里士发起了一项对黄斑裂孔和白内障患者的临床试验,研究了黄斑裂孔手术和白内障手术同时进行或序贯进行对这些患者的影响。研究中22例患者(A组)首先进行超声乳化术及人工晶状体植入手术,1mo后同时进行23G微创玻璃体切除术和视网膜内界膜剥除术。21例患者(B组)进行白内障超声乳化人工晶状体植入手术联合23G微创玻璃体切除术以及视网膜内界膜剥除术。结果:A组包括7例男性,15例女性;B组包括9例男性,12例女性(P=0.545)。A组和B组患者的平均年龄分别为66.63±4.75岁和67.71±4.99岁(P=0.472)。术后3mo,A组中2例患者,B组中5例患者黄斑裂孔未愈合(P=0.240);A组1例患者,B组4例患者并发葡萄膜炎(P=0.185);B组2例患者眼内压升高(P=0.233);A组2例患者,B组4例并发后囊混浊(P=0.412)。结论:两组相比,同时进行手术组产生并发症患者较多,但经统计学分析,术后疗效及并发症之间无统计学差异。
[Abstract]:Objective: to study whether macular hole surgery and cataract surgery were performed simultaneously or sequentially. Methods: a clinical trial of macular hole and cataract was initiated in Tabriz. The effects of macular hole surgery and cataract surgery on these patients were studied. In group A, 22 patients underwent phacoemulsification and intraocular lens implantation. 23 G minimally invasive vitrectomy and internal retinal membrane excision were performed at the same time after 1 month. Group B (21 cases). Phacoemulsification and intraocular lens implantation combined with 23 G minimally invasive vitrectomy and retinal internal limiting membrane excision were performed. Results Group A included 7 males. 15 women; Group B included 9 males. The mean age of 12 female patients with Pao 0.545, A and B were 66.63 卤4.75 years old and 67.71 卤4.99 years old respectively. There were 2 patients in group A and 5 patients in group B without macular hole healing. Group A (n = 1) and group B (n = 4) complicated with uveitis (P = 0.185); In group B, intraocular pressure (IOP) was increased in 2 patients (P < 0. 233). Group A (2 cases) and group B (4 cases) complicated with posterior capsular opacification. Conclusion: compared with the two groups, there are more complications in the operation group, but by statistical analysis. There was no significant difference in postoperative outcomes and complications.
【作者单位】：伊朗大不里士大不里士大学医学科学院眼科;
【分类号】：R779.6
【正文快照】： 引用:Ahoor MH,Sorkhabi R,Eftekhari Milani A,Asghari Kaleiba S.黄斑裂孔手术和白内障手术同时进行或序贯进行的研究.国际眼科杂志2016;16(10):1795-1799 Citation:Ahoor MH,Sorkhabi R,Eftekhari Milani A,Asghari Kaleibar S.Comparison of one step macular hole and c

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