联合手术治疗老年性白内障合并特发性黄斑前膜患者疗效研究
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摘要
目的探讨玻璃体联合手术治疗老年性白内障合并特发性黄斑前膜的临床疗效。方法选取2012年12月至2014年12月接受治疗的74例老年性白内障合并特发性黄斑前膜患者作为研究对象,按随机数字表法分为对照组(37例)和观察组(37例),观察组采用联合手术治疗,对照组采用传统二次手术治疗,比较两组临床疗效。结果观察组、对照组术后最佳矫正视力和黄斑区视网膜平均厚度较术前明显改善,差异有统计学意义(P<0.05);观察组并发症明显少于对照组,差异有统计学意义(P<0.05);观察组视功能恢复时间明显少于对照组,差异有统计学意义(P<0.05);观察组与对照组比较远期最佳矫正视力无明显统计学差异(P>0.05)。结论联合手术治疗老年性白内障合并特发性黄斑前膜可快速改善患者视功能,减轻患者痛苦,减少术中并发症发生,疗效明显。
Objective To investigate the clinical effect of combined surgery on senile cataract complicated by idiopathic macular epiretinal membranes.Methods Seventy-four patients with senile cataract complicated by idiopathic macular epiretinal membranes who were treated from December 2012 to December 2014 were randomly assigned to receive either combined surgery(observation group,n=37)or traditional secondary surgery(control group,n=37).Clinical efficacy was compared between the two groups.Results The best corrected visual acuity(BCVA)and the macular retinal thickness were significantly improved after operation in both groups(P<0.05).Compared with traditional secondary surgery,combined surgery reduced the incidence of complications and shortened the time to recovery of visual function(P<0.05).However,no significant difference in long-term BCVA was found between the two groups(P>0.05).Conclusion The combined surgical treatment can rapidly and effectively improve the visual function,relieve the suffering and reduce intraoperative complications in patients with senile cataract complicated by idiopathic macular epiretinal membranes.
Objective To investigate the clinical effect of combined surgery on senile cataract complicated by idiopathic macular epiretinal membranes.Methods Seventy-four patients with senile cataract complicated by idiopathic macular epiretinal membranes who were treated from December 2012 to December 2014 were randomly assigned to receive either combined surgery(observation group,n=37)or traditional secondary surgery(control group,n=37).Clinical efficacy was compared between the two groups.Results The best corrected visual acuity(BCVA)and the macular retinal thickness were significantly improved after operation in both groups(P<0.05).Compared with traditional secondary surgery,combined surgery reduced the incidence of complications and shortened the time to recovery of visual function(P<0.05).However,no significant difference in long-term BCVA was found between the two groups(P>0.05).Conclusion The combined surgical treatment can rapidly and effectively improve the visual function,relieve the suffering and reduce intraoperative complications in patients with senile cataract complicated by idiopathic macular epiretinal membranes.
引文
[1]姚克.微小切口白内障手术学[M].北京:北京科学技术出版社,2012:302.
[2]金琴辉,项振扬,郑玥.联合手术治疗老年性白内障合并特发性黄斑前膜的临床疗效[J].中国全科医学,2015,18(12):1446-1449.
[3]姜春晖,徐格致.玻璃体黄斑界面疾病的光学相干断层扫描特征[J].中华眼底病杂志,2012,28(2):187-189.
[4]Hirano Y,Yasukawa T,Ogura Y.Optical coherence tomography guided peeling of macular epiretinal membrane[J].Clin Ophthalmol,2011(5):27-29.
[5]俞笳,姜春晖,徐格致,等.特发性黄斑前膜的频域光相干断层扫描特征以及与视力的相互关系[J].中华眼底病杂志,2009,25(3):179-181.
[6]文峰,窦晓燕,吴德正,等.特发性黄斑视网膜前膜的眼底分析[J].眼科研究,2012,26(5):126-127.
[7]黄晓波,邹海东.特发性黄斑前膜的诊断和治疗新进展[J].眼科新进展,2012,18(10):114-115.
[8]罗康怡,杜冰,古洵清,等.超声乳化晶状体摘除治疗合并特发性黄斑前膜的白内障[J].国际眼科杂志,2012,12(6):1097-1098.
[9]刘敏,郭建莲,张华.玻璃体手术治疗特发性黄斑前膜的临床观察[J].山东大学耳鼻喉眼学报,2013,27(5):65-70.
[10]段欣荣,熊颖,刘宁朴,等.玻璃体手术治疗特发性黄斑前膜临床观察[J].眼外伤职业眼病杂志,2009,31(2):97-100.
[11]Kampik A.Pathology of Epiretinal Eembrane,Idiopathic Macular Hole,and Vitreomacular Traction Syndrome[J].Retina,2012,32(S 2):S194-S199.
[12]赵晓明,宋丽华,仝警安.曲安奈德玻璃体腔注射治疗黄斑水肿疗效观察[J].中国中医眼科杂志,2013,18(4):111-112.
[13]许正华,肖云,高晓唯,等.玻璃体手术联合曲安奈德眼内注射治疗特发性黄斑前膜疗效观察[J].国际眼科杂志,2010,10(8):1506-1508.
[14]宋志杰,吕林,陈林.特发性黄斑裂孔术后有晶状体眼与人工晶状体眼视力恢复比较[J].眼科新进展,2010,30(9):878-880.
[15]谢迎宾,雷宁玉,张磊.曲安奈德玻璃体腔注射治疗糖尿病白内障患者人工晶状体植入术后黄斑水肿的疗效观察[J].中华眼底病杂志,2012,28(3):291-293.
[2]金琴辉,项振扬,郑玥.联合手术治疗老年性白内障合并特发性黄斑前膜的临床疗效[J].中国全科医学,2015,18(12):1446-1449.
[3]姜春晖,徐格致.玻璃体黄斑界面疾病的光学相干断层扫描特征[J].中华眼底病杂志,2012,28(2):187-189.
[4]Hirano Y,Yasukawa T,Ogura Y.Optical coherence tomography guided peeling of macular epiretinal membrane[J].Clin Ophthalmol,2011(5):27-29.
[5]俞笳,姜春晖,徐格致,等.特发性黄斑前膜的频域光相干断层扫描特征以及与视力的相互关系[J].中华眼底病杂志,2009,25(3):179-181.
[6]文峰,窦晓燕,吴德正,等.特发性黄斑视网膜前膜的眼底分析[J].眼科研究,2012,26(5):126-127.
[7]黄晓波,邹海东.特发性黄斑前膜的诊断和治疗新进展[J].眼科新进展,2012,18(10):114-115.
[8]罗康怡,杜冰,古洵清,等.超声乳化晶状体摘除治疗合并特发性黄斑前膜的白内障[J].国际眼科杂志,2012,12(6):1097-1098.
[9]刘敏,郭建莲,张华.玻璃体手术治疗特发性黄斑前膜的临床观察[J].山东大学耳鼻喉眼学报,2013,27(5):65-70.
[10]段欣荣,熊颖,刘宁朴,等.玻璃体手术治疗特发性黄斑前膜临床观察[J].眼外伤职业眼病杂志,2009,31(2):97-100.
[11]Kampik A.Pathology of Epiretinal Eembrane,Idiopathic Macular Hole,and Vitreomacular Traction Syndrome[J].Retina,2012,32(S 2):S194-S199.
[12]赵晓明,宋丽华,仝警安.曲安奈德玻璃体腔注射治疗黄斑水肿疗效观察[J].中国中医眼科杂志,2013,18(4):111-112.
[13]许正华,肖云,高晓唯,等.玻璃体手术联合曲安奈德眼内注射治疗特发性黄斑前膜疗效观察[J].国际眼科杂志,2010,10(8):1506-1508.
[14]宋志杰,吕林,陈林.特发性黄斑裂孔术后有晶状体眼与人工晶状体眼视力恢复比较[J].眼科新进展,2010,30(9):878-880.
[15]谢迎宾,雷宁玉,张磊.曲安奈德玻璃体腔注射治疗糖尿病白内障患者人工晶状体植入术后黄斑水肿的疗效观察[J].中华眼底病杂志,2012,28(3):291-293.