玻璃体切割术在糖尿病视网膜病变中的应用效果

Application effect of vitrectomy in diabetic retinopathy

目的探讨玻璃体切割术在糖尿病视网膜病变中的应用效果。方法选取2017年1月至2019年6月景德镇市第一人民医院眼科收治的80例眼科糖尿病视网膜病变患者(80眼)作为研究对象,采用随机数字表法将其分为对照组(40例,40眼)和实验组(40例,40眼)。实验组采用玻璃体切割术,对照组采用视网膜激光治疗。比较两组患者各时间段的眼压、最佳矫正视力及术后并发症发生情况。结果两组术前、术后1 d、术后1周及术后1、3、6个月的眼压比较,差异无统计学意义(P>0.05);两组术后1周的眼压均高于术前,差异有统计学意义(P<0.05);两组的术后3个月最佳矫正视力低于术前,差异有统计学意义(P<0.05);实验组术后3个月的最佳矫正视力低于对照组,差异有统计学意义(P<0.05);实验组的术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论实施玻璃体切割技术的临床治疗效果显著,能够降低最佳矫正视力,降低术后并发症,而且不影响眼科糖尿病视网膜病变患者的术后眼压,值得推广。

Objective To investigate the application effect of vitrectomy in diabetic retinopathy.Methods From January 2017 to June 2019,80 patients with diabetic retinopathy(80 eyes)in the Department of Ophthalmology from Jingdezhen No.1 People′s Hospital were selected as the study subjects.They were divided into control group(40 cases,40 eyes)and experimental group(40 cases,40 eyes)by random number table grouping method.The experimental group was given vitrectomy,and the control group was given retinal laser.The intraocular pressure,best corrected visual acuity at each time period and postoperative complications were compared between the two groups.Results There were no significant differences in intraocular pressures between the two groups before operation,1 day,1 week and 1,3 and 6 months after operation(P>0.05).The intraocular pressures of the two groups at 1 week after operation were higher than those before operation,and the differences were statistically significant(P<0.05).The best corrected visual acuity of the two groups at 3 months after operation was lower than that before operation,and the difference was statistically significant(P<0.05).The best corrected visual acuity at 3 months after operation in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical treatment effect of the vitrectomy is significant,which can reduce the best corrected visual acuity,reduce postoperative complications,and does not affect the postoperative intraocular pressure of patients with ophthalmic diabetic retinopathy.Therefore,this method is worthy of popularization.