Vitrectomy/methods Surgical procedures,minimally invasive/ad

  本文关键词：改良式23G缝合切口与传统23G硅油取出手术对比观察，由笔耕文化传播整理发布。

改良式23G缝合切口与传统23G硅油取出手术对比观察

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] 第三军医大学大坪医院野战外科研究所眼科,重庆,400042; [2] 第三军医大学新桥医院眼科,重庆,400042;

文章摘要：目的 对比观察改良式23G缝合切口硅油取出手术的临床疗效及安全性.方法 前瞻性临床研究.行硅油取出手术的临床连续病例177例180只眼纳入研究.其中,男性112例113只眼,女性65例67只眼;平均年龄（43.8＆#177;10.3）岁.平均硅油填充时间4.5个月.患者均行矫正视力、间接检眼镜、眼压、B型超声、光相干断层扫描（OCT）检查.患眼视网膜均在位.采用随机数字表法将患眼分为传统23G免缝合切口硅油取出手术组（A组）和改良式23G缝合切口硅油取出手术组（B组）.分别为88、92只眼.两组患者性别（x^2=1.596）、平均年龄、平均矫正视力（￡=0.785）、平均眼压（t=0.352）、原发疾病（x^2=1.982）、晶状体状态（x^2=2.605）比较,差异均无统计学意义（P＞0.05）.手术结束时,记录手术时间.观察矫正视力、眼压硅油残留、脉络膜脱离、视网膜再脱离以及眼内炎等并发症发生情况.结果 A、B组平均手术时间比较,差异无统计学意义（t=1.950,P＞0.05）.手术后1 d（t=0.873）,1周（t=1.115）,3个月（t=0.141）平均矫正视力比较,差异无统计学意义（P＞0.05）.手术后1d,两组间平均眼压比较,差异有统计学意义（t=2.550,P＜0.05）;手术后1周（t=1.451）,3个月（t=1.062）平均眼压比较,差异均无统计学意义（P＞0.05）.随访期间,A组患眼中发生低眼压、脉络膜脱离、玻璃体积血、视网膜再脱离和硅油残留小滴为25、8、5、9、7只眼,分别占A组患眼的28.4％、9.1％、5.7％、10.2％、8.0％;B组患眼为5、2、2、8、1只眼,分别占B组患眼的5.4％、2.2％、2.2％、8.7％、1.1％.两组患眼过一性低眼压、脉络膜脱离、硅油残留小滴发生率比较,差异有统计学意义（P＜0.05）.随访中及末次随访时均未见眼内炎发生.结论 改良式23G缝合切口硅油取出手术可减少手术后低眼压、脉络膜脱离、残留硅油小滴等并发症的发生,安全性较好.

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

文章关键词：

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

  本文关键词：改良式23G缝合切口与传统23G硅油取出手术对比观察，，由笔耕文化传播整理发布。