《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (06): 485-486.

• 临床研究 • 上一篇    下一篇

黄斑裂孔性视网膜脱离手术疗效与临床相关因素研究

赵杰; 张卯年   

  1. 1.解放军军医进修学院 北京市 100853;2.武警总医院眼科 北京市 100039;3.解放军总医院眼科 北京市 100853
  • 收稿日期:2005-05-15 出版日期:2005-06-25 发布日期:2005-06-25

Correlation between the surgical effect and clinical factors in retinal detachments with macular hole

ZHAO Jie, ZHANG Mao-nian   

  1. ZHAO Jie, ZHANG Mao-nian
  • Received:2005-05-15 Published:2005-06-25 Online:2005-06-25

PDF (PC)

被引次数

11

摘要： 目的探讨黄斑裂孔性视网膜脱离手术疗效与临床相关因素的关系。方法从我院眼科孔源性视网膜脱离数据库系统中提取出有详细临床、手术及随访资料的黄斑裂孔性视网膜脱离患者71例(71眼),对手术疗效与临床因素进行Logistic回归分析。结果术后所有患者均得到视网膜解剖复位,裂孔封闭,其中10例于术后3天至3年内复发。视网膜复位与增殖性玻璃体视网膜病变(PVR)分级及视网膜脱离时间相关(P<0.05);术后视力改善与PVR分级、年龄及视网膜脱离时间相关(P<0.05)。结论患者的年龄、PVR分级及视网膜脱离时间影响手术疗效。

关键词: 黄斑裂孔, 视网膜脱离, 疗效

Abstract: ObjectiveTo investigate the correlation between the surgical effect and clinical factors in retinal detachments with macular hole patients.Methods71 patients were picked up from the rhegmatogenous retinal detachment (RRD) database in our hospital. All patients were well informed with clinical data and followed up. Logistic regression statistical analysis was performed to analyze correlation between the effect of operation and clinical factors.ResultsAll patients obtained successful retinal replacement and macular hole closure, but retinal detachment was relapsed in 10 patients from 3 days to 3 years after operation. Effect of retinal replacement was related with proliferative vitreoretinopathy (PVR) grade and course (P<0.05), while eyesight improvement was related with PVR grade, age and course (P<0.05).ConclusionAge, PVR grade and course affect the surgical effect.

Key words: macular hole, retinal detachment, therapeutic effect