微创玻璃体手术治疗特发性黄斑前膜的效果分析

Effect Analysis of Minimally Invasive Vitrectomy for Idiopathic Macular Epiretinal Membrane

目的本次试验将针对特发性黄斑前膜患者实施微创玻璃体手术,分析临床治疗成效。方法本次试验选取了2018年1月至2019年7月前来本院就诊的患者,其均为特发性黄斑前膜人群,在自愿参与试验调查的基础上选取了36例患者作为调研对象。均采用微创剥离体手术(即行玻璃体切割)剥膜黄斑前膜,随后对患者进行手术后的观察,实施疗效评价。结果从手术情况上看,手术后尚未出现眼底出血、眼压异常、视网膜脱落以及相关并发症,但出现了1眼剥膜处视网膜表面点状非持续性出血。在满意度调查中,总满意率为97.22%(35/36)。在手术后最佳矫正视力的比较中,36例患者的眼视力均得到了提升,其中,手术前眼视力为眼前指数为0.2,手术后则在0.3~0.6,而在30例有视物变形情况的患者中,有29例患者得到了缓解。手术前平均黄斑中心凹厚度为(396.54±12.36)μm,手术后则为(258.36±15.38)μm,前后对比差异显著,具有统计学意义(P<0.05)。结论采用微创玻璃体手术能有效地治疗特发性黄斑前膜,在患者的视力功能尚未出现严重的损伤前实施治疗能够更好地保障患者的视觉能力,提升生活质量,确保手术治疗的整体成效。

Objective This experiment will focus on minimally invasive vitrectomy for idiopathic macular epiretinal membrane.Methods From January 2018 to July 2019,36 patients with idiopathic macular anterior membrane were selected as the subjects of this study based on voluntary participation in the experimental investigation.All patients were treated with minimally invasive stripping surgery,vitrectomy and peeling of macular epiretinal membrane.Then the patients were observed after operation,and the curative effect was evaluated.Result From the operation situation,there were no fundus bleeding,abnormal intraocular pressure,retinal detachment and related complications after operation,but there was a punctate non-persistent bleeding on the retinal surface at the peeling site of one eye.In the satisfaction survey,the total satisfaction rate was 97.22%(35/36).In the comparison of the best corrected visual acuity after surgery,the visual acuity of 36 patients was improved.The visual acuity before surgery was 0.2,and after surgery was between 0.3 and 0.6.In 30 patients with visual deformations,29 patients were relieved.The average macular fovea thickness before surgery was(396.54±12.36)μm,and after surgery it was(258.36±15.38)μm,the difference was significant and statistically significant(P<0.05).Conclusion Minimally invasive vitrectomy is effective in the treatment of idiopathic macular epiretinal membranes.Before treatment of severe visual impairment,the treatment of patients with idiopathic macular epiretinal membrane can better protect the visual ability of patients,improve the quality of life,and ensure the overall effectiveness of surgical treatment.