改良膜分割与双手膜清除技术在23G玻璃体手术治疗增殖性糖尿病视网膜病变中的对比

doi:10.6040/j.issn.1673-3770.0.2014.260

山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (1): 52-55.doi: 10.6040/j.issn.1673-3770.0.2014.260

改良膜分割与双手膜清除技术在23G玻璃体手术治疗增殖性糖尿病视网膜病变中的对比

刘海洋, 李甦雁, 张正培, 范巍

徐州市眼病防治研究所/徐州市第一人民医院眼科, 江苏徐州 221002

收稿日期:2014-08-07 出版日期:2015-02-16 发布日期:2015-02-16
作者简介:刘海洋。E-mail:liuhaiyang86@126.com
基金资助:
徐州市科技计划(XM13B077)

Comparison of improved membrane dissection and bimanual enbloc excision in 23G vitrectomy to treat proliferative diabetic retinopathy

LIU Hai-yang, LI Su-yan, ZHANG Zheng-pei, FAN Wei

Xuzhou Eye Resarch Institute/ Department of Ophthalmology, the First People's Hospital of Xuzhou, Xuzhou 221002, Jiangsu, China

Received:2014-08-07 Online:2015-02-16 Published:2015-02-16

摘要/Abstract

摘要： 目的探讨分析改良膜分割与双手膜清除技术,在23G玻璃体手术中治疗增殖性糖尿病视网膜病变(PDR)中的优缺点。方法将有玻璃体手术指征的PDR患者38例41眼纳入研究,进行前瞻性随机对照,采用随机数字表法将患者分为双手膜清除组、改良膜分割组,比较两种增殖膜去除理念——双手膜清除、改良膜分割的优缺点。比较术中医源孔数量、手术时间、术后视力改善、并发症发生情况等指标。结果改良膜分割技术降低了医源孔的发生,降低了硅油注入率,并未提高术后玻璃体积血、增殖膜及其他并发症的发生率,同时不影响视功能恢复。结论改良膜分割技术适用于23G玻璃体手术治疗增殖性糖尿病视网膜病变,联合手术优势明显,疗效良好。

关键词: 23G玻璃体手术, 膜清除, 膜分割, 增殖性糖尿病视网膜病变

Abstract: Objective To investigate the differences between improved membrane dissection and bimanual enbloc excision in 23G vitrectomy in the treatment of proliferative diabetic retinopathy(PDR). Method A total of 38 PDR patients(41 eyes) undergoing vitrectomy from Jun 2013 to Jan 2014 was enrolled in this study. The patients were randomly divided into bimanual enbloc excision group(19 patients, 20 eyes) and improved membrane dissection group(19 patients, 21 eyes). After the procedures, number of iaogenic holes, ratio of silicon oil fill, operation time, postoperative hemorrhage, and postoperative proliferative membrane were observed. Result Improved membrane dissection decreased the number of iaogenic holes,ratio of silicon oil fill,without increasing the operation time, incidence of postoperative hemorrhage, or proliferative membrane aggravation. Meanwhile, visual function recovery wasn't influnced. Conclusion The improved membrane dissection is better in 23G vitrectomy to treat proliferative diabetic retinopathy(PDR).

Key words: Proliferative diabetic retinopathy, Enbloc excision, Membrane dissection, 23G vitrectomy

中图分类号:

R774.1

刘海洋, 李甦雁, 张正培, 范巍. 改良膜分割与双手膜清除技术在23G玻璃体手术治疗增殖性糖尿病视网膜病变中的对比[J]. 山东大学耳鼻喉眼学报, 2015, 29(1): 52-55.

LIU Hai-yang, LI Su-yan, ZHANG Zheng-pei, FAN Wei. Comparison of improved membrane dissection and bimanual enbloc excision in 23G vitrectomy to treat proliferative diabetic retinopathy[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 52-55.

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改良膜分割与双手膜清除技术在23G玻璃体手术治疗增殖性糖尿病视网膜病变中的对比

Comparison of improved membrane dissection and bimanual enbloc excision in 23G vitrectomy to treat proliferative diabetic retinopathy

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