[1]陈军锋.增生型糖尿病性视网膜病变前后段联合手术的疗效观察[J].医学信息,2018,31(10):99-100,103.[doi:10.3969/j.issn.1006-1959.2018.10.030]
 CHEN Jun-feng.Effect of Combined Anterior and Posterior Segment Surgery on Proliferative Diabetic Retinopathy[J].Journal of Medical Information,2018,31(10):99-100,103.[doi:10.3969/j.issn.1006-1959.2018.10.030]
点击复制

增生型糖尿病性视网膜病变前后段联合手术的疗效观察()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年10期
页码:
99-100,103
栏目:
临床研究
出版日期:
2018-05-15

文章信息/Info

Title:
Effect of Combined Anterior and Posterior Segment Surgery on Proliferative Diabetic Retinopathy
文章编号:
1006-1959(2018)10-0099-03
作者:
陈军锋
渭南市第二医院眼科,陕西 渭南 714000
Author(s):
CHEN Jun-feng
Department of Ophthalmology,Second Hospital of Weinan,Weinan 714000,Shaanxi,China
关键词:
增生型糖尿病视网膜病变前后段联合手术并发症
Keywords:
Key words:Proliferative typeDiabetes mellitusRetinopathyCombined anterior and posterior segment surgeryComplications
分类号:
R587.2;R779.6
DOI:
10.3969/j.issn.1006-1959.2018.10.030
文献标志码:
A
摘要:
目的 探析增生型糖尿病性视网膜病变前后段联合手术的临床疗效。方法 选取2015年10月~2017年4月在我院进行治疗的增生型糖尿病性视网膜病变患者90例,随机分为参照组和治疗组,每组45例。参照组给予单纯玻璃体切除术治疗,治疗组应用后三联手术治疗,对比两组患者治疗前后视力情况和并发症发生率。结果 经术前检测,两组患者视力情况相比,差异无统计学意义(P>0.05);经治疗后,治疗组患者术后视力恢复情况优于参照组,差异有统计学意义(P<0.05)。治疗组患者的并发症发生率为20.00%,低于参照组的42.22%,差异具有统计学意义(P<0.05)。结论 增生型糖尿病性视网膜病变患者行后三联手术(玻璃体切除术+超声乳化人工晶体植入术联合)治疗,术后并发症少,对促进视力的恢复具有一定的临床优势和可行性,推广应用价值较高。
Abstract:
Abstract:Objective To investigate the clinical efficacy of combined anterior and posterior segment surgery for proliferative diabetic retinopathy.Methods A total of 90 patients with proliferative diabetic retinopathy treated in our hospital from October 2015 to April 2017 were randomly divided into reference group and treatment group,45 cases in each group.The reference group was treated with simple vitrectomy,and the treatment group was treated with triple surgery.The visual acuity and incidence of complications were compared between the two groups before and after treatment.Results After preoperative detection,there was no significant difference in the visual acuity between the two groups(P>0.05).After treatment,the visual acuity of the patients in the treatment group was better than that of the reference group,the difference was statistically significant(P<0.05).The incidence of complications in the treatment group was 20.00%,which was lower than that in the reference group 42.22%,the difference was statistically significant(P<0.05). Conclusion The patients with proliferative diabetic retinopathy were treated with posterior triple surgery(phacoemulsification intraocular lens implantation combined with vitrectomy),which had less complications, and had certain clinical advantages and feasibility to promote the recovery of visual acuity.The value of popularization and application is high.

参考文献/References:

[1]沈玺,钟一声,焦秦,等.增生性糖尿病视网膜病变合并白内障行玻璃体切割术中两种联合术式的对比观察[J].眼科新进展,2011,31(11):1056-1058.
[2]张坚寅,方肖云,孙朝晖.联合手术治疗增生型糖尿病视网膜病变合并白内障的临床观察[J].中国眼耳鼻喉科杂志,2011,11(3):156-158.
[3]周林,黄素英,李芳芳.增生性糖尿病视网膜病变伴白内障的手术治疗[J].中华眼外伤职业眼病杂志 2017,39(1):50-54.
[4]周林,邹玉平,黄素英,等.白内障超声乳化吸除联合玻璃体切除治疗增生性糖尿病视网膜病变的临床研究[J].临床眼科杂志,2011,19(5):414-417.
[5]Chae JB,Joe SG,Yang SJ,et al.Effect of combined cataract surgery and ranibizumab injection in postoperative macular edema in nonproliferative diabetic retinopathy[J].Retina,2014,34(1):149-156.
[6]肖旗彬.玻璃体切割联合白内障超声乳化术对增生性糖尿病视网膜病变的治疗效果观察[J].中国医疗器械信息,2016,22(10):96-97.
[7]彭超,王立,陈惠莉,等.玻璃体切除治疗增生性糖尿病视网膜病变[J].国际眼科杂志,2013,13(10):2122-2123.
[8]Yang Y,Zhang J,Yan H.Comparison of Combined and Sequential Surgery for Proliferative Diabetic Retinopathy:A Single Surgeon Study[J].Plos One,2014,9(9):108933.

相似文献/References:

[1]张西园.糖尿病与结直肠癌患者预后相关研究进展[J].医学信息,2018,31(01):55.[doi:10.3969/j.issn.1006-1959.2018.01.020]
 ZHANG Xi-yuan.Research Progress in the Relationship between Diabetes and the Prognosis of Colorectal Cancer[J].Journal of Medical Information,2018,31(10):55.[doi:10.3969/j.issn.1006-1959.2018.01.020]
[2]耿金萍.综合护理对甲状腺良性肿瘤并糖尿病患者手术效果的影响分析[J].医学信息,2018,31(01):163.[doi:10.3969/j.issn.1006-1959.2018.01.064]
 GENG Jin-ping.Analysis of the Effect of Comprehensive Nursing on the Surgical Effect of Thyroid Benign Tumor and Diabetic Patients[J].Journal of Medical Information,2018,31(10):163.[doi:10.3969/j.issn.1006-1959.2018.01.064]
[3]李雯婷,谈世华,余江明,等.踝肱指数检测在住院糖尿病患者中的重复性研究[J].医学信息,2018,31(03):159.[doi:10.3969/j.issn.1006-1959.2018.03.058]
 LI Wen-ting,TAN Shi-hua,YU Jiang-ming,et al.Study on Reproducibility of Ankle-brachial Index in Inpatients with Diabetes Mellitus[J].Journal of Medical Information,2018,31(10):159.[doi:10.3969/j.issn.1006-1959.2018.03.058]
[4]刘 静.冠状动脉粥样硬化性心脏病合并糖尿病的血脂检验结果分析[J].医学信息,2018,31(04):154.[doi:10.3969/j.issn.1006-1959.2018.04.057]
 LIU Jing.Analysis of Blood Lipid Test Results in Coronary Atherosclerotic Heart Disease Complicated with Diabetes Mellitus[J].Journal of Medical Information,2018,31(10):154.[doi:10.3969/j.issn.1006-1959.2018.04.057]
[5]谢勇丽,苏晓清,张雅薇.糖尿病痛性周围神经病变患者情绪调查分析[J].医学信息,2018,31(05):14.[doi:10.3969/j.issn.1006-1959.2018.05.005]
 XIE Yong-li,SU Xiao-qing,ZHANG Ya-wei.Investigation and Analysis of Mood in Patients with Diabetic Peripheral Neuropathy[J].Journal of Medical Information,2018,31(10):14.[doi:10.3969/j.issn.1006-1959.2018.05.005]
[6]张雅薇,朱明慧.首发为动眼神经麻痹的糖尿病合并动眼神经麻痹误诊为痛性眼肌麻痹1例分析[J].医学信息,2018,31(05):23.[doi:10.3969/j.issn.1006-1959.2018.05.008]
 ZHANG Ya-wei,ZHU Ming-hui.An Analysis of a Case of Diabetes Mellitus with Oculomotor Nerve Palsy Misdiagnosed as Painful Ophthalmoplegia[J].Journal of Medical Information,2018,31(10):23.[doi:10.3969/j.issn.1006-1959.2018.05.008]
[7]张宇宁.黄酮类化合物治疗糖尿病及其并发症的研究[J].医学信息,2018,31(05):50.[doi:10.3969/j.issn.1006-1959.2018.05.018]
 ZHANG Yu-ning.Study on Flavonoids in the Treatment of Diabetes Mellitus and its Complications[J].Journal of Medical Information,2018,31(10):50.[doi:10.3969/j.issn.1006-1959.2018.05.018]
[8]柳 梅.头孢哌酮钠舒巴坦钠治疗糖尿病并发尿路感染的 临床效果观察[J].医学信息,2018,31(07):139.[doi:10.3969/j.issn.1006-1959.2018.07.047]
 LIU Mei.Clinical Efficacy of Cefoperazone Sodium and Sulbactam Sodium in Treatment of Diabetes Complicated with Urinary Tract Infection[J].Journal of Medical Information,2018,31(10):139.[doi:10.3969/j.issn.1006-1959.2018.07.047]
[9]吕桂英.影响糖尿病患者药物治疗依从性相关因素临床分析[J].医学信息,2018,31(08):109.[doi:10.3969/j.issn.1006-1959.2018.08.036]
 LV Gui-ying.Clinical Analysis of Factors Related to Compliance with Drug Therapy in Patients with Diabetes Mellitus[J].Journal of Medical Information,2018,31(10):109.[doi:10.3969/j.issn.1006-1959.2018.08.036]
[10]刘爱君.糖化血红蛋白测定在糖尿病诊断中的应用价值分析[J].医学信息,2018,31(08):161.[doi:10.3969/j.issn.1006-1959.2018.08.057]
 LIU Ai-jun.Analysis of the Value of Determination of Glycosylated Hemoglobin in the Diagnosis of Diabetes Mellitus[J].Journal of Medical Information,2018,31(10):161.[doi:10.3969/j.issn.1006-1959.2018.08.057]

更新日期/Last Update: 2018-05-15