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诸钱伟.玻璃体切割术在高度近视性黄斑劈裂及黄斑裂孔治疗中的应用效果分析[J].浙江中西医结合杂志,2018,28(8):
玻璃体切割术在高度近视性黄斑劈裂及黄斑裂孔治疗中的应用效果分析
Analysis of the effect of vitrectomy in the treatment of high myopia macular wedge and macular hole
投稿时间:2017-07-13  修订日期:2018-07-06
DOI:
中文关键词:  玻璃体切割术  高度近视  黄斑劈裂  黄斑裂孔
英文关键词:Vitrectomy  high myopia  macular wedge  macular hole
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作者单位E-mail
诸钱伟 余姚市第二人民医院 zhujieyhb74@126.com 
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中文摘要:
      目的 探究玻璃体切割术在高度近视性黄斑劈裂及黄斑裂孔中的应用效果。方法 选取2015年9月—2016年5月我院收治的行玻璃体切割术治疗的40例(45眼)高度近视性黄斑劈裂或黄斑裂孔且不伴视网膜脱离患者作为本次研究的对象,其中包括黄斑劈裂组患者22例(24眼),黄斑裂孔组患者18例(21眼)。术后对所有患者进行为期6个月的随访,测定并观察患者的视力、光学相干断层扫描(OCT)和视力及多焦视网膜电图(mfEGR)情况。结果 黄斑劈裂组视力进步率、黄斑完全愈合率显著高于黄斑裂孔组,且视力减退率、未改善率更低(p<0.05);两组术后3个月、6个月时的P1振幅密度均显著高于同组术前(P<0.05);黄斑劈裂组P1潜伏期逐渐下降,且术后6个月时与术前具有显著性差异(P<0.05),而黄斑裂孔组虽有所下降,但各时期与术前相比均统计学意义(P>0.05)。结论 玻璃体切割术是治疗高度近视性黄斑劈裂及黄斑裂孔的有效手段,在裂孔形成前进行治疗有助于患者术后视力的改善。
英文摘要:
      Objective To explore the effect of vitrectomy in the application of high myopia macular wedge and macular hole. Methods from February 2014 to February 2015 in our hospital for treatment of 40 cases of vitreous body incision (45 eyes) split or macular hole and retinal detachment patients as the research object of high myopia with macular retinoschisis, including 22 patients (24 eyes), macular hole macular fissure in 18 cases patients (21 eyes). All patients were followed up for a period of 6 months. The visual acuity, optical coherence tomography (OCT) and visual acuity () and multifocal visual acuity (mfEGR) were measured and observed. Results retinoschisis group visual acuity improvement rate and healing rate was significantly higher than that of total macular macular hole group, visual loss rate, and no improvement rate is lower (P < 0.05); the two groups after 3 months, the amplitude density of P1 at 6 months were significantly higher than those in the same group before operation (P < 0.05); splitting the latency of P1 decreased gradually and macular, 6 months after operation and before operation with significant difference (P < 0.05), and macular hole group has decreased, but each period compared with before surgery had no statistical significance (P > 0.05). Conclusion vitrectomy is an effective method to treat high myopia macular wedge and macular hole. It is helpful to improve the visual acuity of the patients before and after the formation of the hole.
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