联合手术治疗老年性白内障合并特发性黄斑前膜患者疗效研究

Combined Surgery for Senile Cataract Complicated by Idiopathic Macular Epiretinal Membranes

目的探讨玻璃体联合手术治疗老年性白内障合并特发性黄斑前膜的临床疗效。方法选取2012年12月至2014年12月接受治疗的74例老年性白内障合并特发性黄斑前膜患者作为研究对象,按随机数字表法分为对照组(37例)和观察组(37例),观察组采用联合手术治疗,对照组采用传统二次手术治疗,比较两组临床疗效。结果观察组、对照组术后最佳矫正视力和黄斑区视网膜平均厚度较术前明显改善,差异有统计学意义(P<0.05);观察组并发症明显少于对照组,差异有统计学意义(P<0.05);观察组视功能恢复时间明显少于对照组,差异有统计学意义(P<0.05);观察组与对照组比较远期最佳矫正视力无明显统计学差异(P>0.05)。结论联合手术治疗老年性白内障合并特发性黄斑前膜可快速改善患者视功能,减轻患者痛苦,减少术中并发症发生,疗效明显。

Objective To investigate the clinical effect of combined surgery on senile cataract complicated by idiopathic macular epiretinal membranes. Methods Seventy-four patients with senile cataract complicated by idiopathic macular epiretinal membranes who were treated from December 2012 to December 2014 were randomly assigned to receive either combined surgery(observation group,n= 37) or traditional secondary surgery(control group,n = 37). Clinical efficacy was compared between the two groups. Results The best corrected visual acuity(B C V A ) and the macular retinal thickness were significantly improved after operation in both groups(P<0.05).Compared with traditional secondary surgery, combined surgery reduced the incidence of complications and shortened the time to recovery of visual function(P<C〇. 05). However,no significant difference in long-term BCVA was found between the two g ro u p s(P > 0 . 05). Conclusion The combined surgical treatment can rapidly and effectively improve the visual function, relieve the suffering and reduce intraoperative complications in patients with senile cataract complicated by idiopathic macular epiretinal membranes.