增殖性糖尿病视网膜病变玻璃体切割术后早期高眼压的危险因素分析

发布时间：2018-04-30 04:16

  本文选题：增殖性糖尿病视网膜病变 + 玻璃体切割术　； 参考：《泸州医学院学报》2016年04期

【摘要】：目的:探究增殖性糖尿病视网膜病变(proliferative diabetic retinopathy,PDR)玻璃体切割术后早期高眼压的相关危险因素,为增殖性糖尿病视网膜病变手术治疗提供合理的临床指导。方法:回顾性分析2013年7月至2015年11月在我院进行玻璃体切割术的85例(112眼)PDR患者术后两周内的眼压情况,并且对临床引发高眼压的相关因素进行系统性的分析。结果:PDR患者在玻璃体切割术后高眼压的发生率为29.4%(33眼),不同手术方式高眼压的发生率差异有统计学意义(P0.01)。PDR分期呈现Ⅵ期Ⅴ期Ⅳ期的趋势,差异具有统计学意义(P=0.021)。眼内填充平衡液时高眼压的发生率15.4%,较硅油(37.8%)和全氟丙烷C3F8(47.8%)填充明显偏低(P0.01),术后出血组高眼压的发生率为83.3%,明显高于术后无出血组(P0.01)。多因素Logistics回归分析表明手术方式、眼内填充物、术后出血为影响PDR患者玻璃体切割术后高眼压的独立危险因素。结论:选择23G玻璃体切割术,避免术后出血,眼内以平衡液填充可以有效降低PDR患者在玻璃体切割术后早期高眼压的发生率。
[Abstract]:Objective: to investigate the risk factors of high intraocular pressure (IOP) after vitrectomy with proliferative diabetic retinopathy (PDR) in order to provide reasonable clinical guidance for the surgical treatment of proliferative diabetic retinopathy. Methods: the intraocular pressure (IOP) of 85 cases (112 eyes) of PDR who underwent vitrectomy from July 2013 to November 2015 in our hospital were analyzed retrospectively. Results the incidence of high intraocular pressure after vitrectomy was 29.44% and 33 eyes respectively. There was a significant difference in the incidence of high intraocular pressure among different surgical methods. There was a trend of stage 鈪，

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