摘要
目的了解我院2013年经玻璃体切除手术治疗患者视网膜脱离的国际疾病分类(ICD)诊断及其手术方式。方法对我院2013年间经玻璃体切除手术治疗的全部视网膜脱离患者1648例(住院患者)的诊断与手术术式资料,进行回顾性分析,根据ICD标准化诊断编码的临床分类方法,对患者的临床诊断及玻璃体切除手术方式进行病因和术式分类。统计方法采用描述性统计。结果@ICD标准的病因分类:原发性视网膜脱离占50.18%(827/1648),牵拉性视网膜脱离占32.52%(536/1648),渗出性视网膜脱离占0.61%(10/1648),其他占16.69%(275/1648)。②最常见的前5位病因诊断:单纯孔源性视网膜脱离(25.73%,424/1648)、糖尿病牵拉性视网膜脱离(12.62%,208/1648)、眼外伤性视网膜脱离(12.08%,199/1648)、其他原发性视网膜脱离(11.23%,185/1648)、内眼手术后并发视网膜脱离(10.62%,175/1648)。③玻璃体切除手术方式前4位:联合硅油植入手术(54.73%,902/1648),基本玻璃体切除手术(21.97%,362/1648),联合硅油植入和晶状体切除手术(14.38%,237/1648),联合晶状体切除手术(5.58%,92/1648)。结论现代玻璃体切除手术主要用于原发性视网膜脱离以及糖尿病、眼外伤和内眼手术相关视网膜脱离的治疗;不同类型视网膜脱离在基本玻璃体切除手术和联合手术的需求上体现视网膜脱离及其手术治疗的复杂性。
Objective To diagnose retinal detachment with International Classification of Diseases- 10 (ICD-10) and to analyze the surgical modalities of vitrectomy for the disease. Methods The clinical data of 1 648 hospitalized patients with retinal detachment undergoing vitrectomy in our hospital in 2013 were retrospectively analyzed. Results The ICD etiological classification showed that primary retinal detachment accounted for 50. 18% (827/1 648), tractional retinal detachment accounted for 32. 52% (536/1 648), exudative retinal detachment accounted for O. 61% (10/1 648 )and other types accounted for 16. 69% (275/ 1 648 ). The top 5 common etiological diagnoses were simple rhegmatogenous retinal detachment (25.73%, 424/I 648), diabetic tractional retinal detachment (12. 62%, 208/1 648), traumatic retinal detachment (12. 08%, 199/1 648), other primary retinal detachment (11.23%, 185/1 648) and retinal detachment after intraocular surgery (10. 62%, 175/1 648 ). The top 4 modalities of vitrectomy were combined silicone oil implanting surgery (54. 73%, 902/1 648), basic vitrectomy (21.97%, 362/1 648), combined silicone oil and lenticular surgery (14. 38%, 237/1 648) and combined lenticular surgery (5.58% ,92/1 648). Conclusions Modern vitrectomy is used mainly for the treatment of primary retinal detachment and the treatment of retinal detachment related to diabetes, ocular trauma and intraocular surgeries. The eomplexity of various retinal detachment diseases requires different surgical modalities of vitrectomy for treatment.
出处
《中华全科医师杂志》
2015年第7期541-544,共4页
Chinese Journal of General Practitioners
关键词
玻璃体切除术
视网膜脱离
国际疾病分类法
Vitrectomy
Retinal detachment
International Classification of Diseases