合并玻璃体积血的糖尿病视网膜病变患者的手术治疗分析
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Retrospective analysis of surgical treatments in 128 patients with proliferative diabetic retinopathy combined with vitreous hemorrhage
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    摘要:

    目的:探讨合并玻璃体积血的增殖性糖尿病视网膜病变(proliferative diabetic retinopathy,PDR)的手术干预时机。

    方法:采用回顾性的研究方法对128例177眼合并玻璃体积血的PDR患者的手术疗效进行对比观察。PDR患者依据疾病进程分为Ⅳ级组、Ⅴ级组以及Ⅵ级组。采用玻璃体切除术以及眼内视网膜激光对各组患者进行治疗,观察并比较三组患者手术并发症、前房炎症反应、术后1wk眼压以及术后6mo视力恢复情况。

    结果:与术前相比,所有患者视力均恢复,但三组中以Ⅳ组视力恢复最为显著(P<0.05); 三组患者手术相关并发症发生率、前房炎症以及术后平均眼压,均未发现统计学差异(P>0.05)。

    结论:在Ⅳ级时对PDR患者进行手术干预可在不增加手术风险的同时显著提高疗效。

    Abstract:

    AIM: To explore the surgical intervention time in treatment of proliferative diabetic retinopathy(PDR)combined with vitreous hemorrhage.

    METHODS: Totally, 128 cases(177 eyes)with PDR combined with vitreous hemorrhage were investigated retrospectively. Patients with PDR were divided into Ⅳ group, Ⅴ group and Ⅵ group. Vitrectomy and laser treatment were applied. Surgical complications, anterior chamber inflammation, intraocular pressure 1 week after surgeries and restoration of vision 6 months after surgeries were observed and compared between groups.

    RESULTS:Vision of all patients restored significantly after surgeries, but more significantly in Ⅳ group(P<0.05); there were no significant differences of surgical complications, anterior chamber inflammation and intraocular pressure 1 week after surgeries in 3 groups(P>0.05).

    CONCLUSION: Clinical effects could be improved significantly by surgical intervention at Ⅳ stage of PDR without increasing any surgical risks.

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周卓琳,毕春潮,王睿.合并玻璃体积血的糖尿病视网膜病变患者的手术治疗分析.国际眼科杂志, 2013,13(8):1648-1650.

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  • 收稿日期:2013-05-29
  • 最后修改日期:2013-07-22
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  • 在线发布日期: 2013-07-29
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