首页|25G微创玻璃体切割术治疗孔源性视网膜脱离的临床效果

25G微创玻璃体切割术治疗孔源性视网膜脱离的临床效果

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目的 探讨 25G微创玻璃体切割术治疗孔源性视网膜脱离的临床效果.方法 将 102 例孔源性视网膜脱离患者随机分为研究组(25G玻璃体切割术)与对照组(23G玻璃体切割术),比较两组最佳矫正视力(BCVA)、眼压、视网膜复位率及并发症发生率.结果 术后 1 周、1 个月、3 个月,研究组BCVA均低于对照组(P<0.05).两组的眼压、视网膜复位率比较差异无统计学意义(P>0.05).研究组并发症发生率为 3.92%,低于对照组的 17.65%(P<0.05).结论 25G微创玻璃体切割术更利于孔源性视网膜脱离患者的视力恢复,且安全性更高,值得临床推广.
Clinical Effect of 25G Minimally Invasive Vitrectomy in the Treatment of Rhegmatogenous Retinal Detachment
Objective To explore the clinical effect of 25G minimally invasive vitrectomy in the treatment of rhegmatogenous retinal detachment.Methods 102 patients with rhegmatogenous retinal detachment were randomly divided into study group(25G vitrectomy)and control group(23G vitrectomy).The best corrected visual acuity(BCVA),intraocular pressure,retinal reattachment rate,and incidence of complications were compared between the two groups.Results 1 week,1 month and 3 months after surgery,the BCVA of the study group were lower than those of the control group(P<0.05).No statistical difference was found in the intraocular pressure and retinal resetting rate between the two groups(P>0.05).The incidence of complications in the study group was 3.92%,lower than 17.65%in the control group(P<0.05).Conclusions 25G minimally invasive vitrectomy is more beneficial to visual recovery of patients with rhegmatogenous retinal detachment with higher safety,which is worthy of clinical promotion.

25G minimally invasive vitrectomyRhegmatogenous retinal detachmentBest corrected visual acuityRetinal reattachment rate

郭洁、魏凌君、郑海涛

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周口市中心医院眼科,河南周口 466000

25G微创玻璃体手术 孔源性视网膜脱离 最佳矫正视力 视网膜复位率

河南省医学科技攻关计划联合共建项目

LHGJ20191507

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(1)
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