玻璃体消融术与玻璃体切除术治疗飞蚊症的临床对比研究

摘要

Objective To compare the effects of vitreous ablation and vitrectomy in the treatment of spotted vision.Methods A total of 229 patients with spotted vision to receive treatment in our department,including 322 affected eyes,were enrolled and divided into group A (153 eyes) and group B (169 eyes) according to different therapies.Group A was treated with YAG vitreous ablation and group B with 27G vitrectomy.One month after the operation,the improvement of condition in the two groups was investigated through a questionnaire survey.Results The operation time and vitreous opacity clearance time in group A were significantly shorter than those in group B (P ＜ 0.05);nine cases in group A received another vitreous ablation one week after the operation due to poor effects,while three were no such cases in group B.No post-operative complications occurred in the two groups.The overall response rate (ORR) in group A was 95.42％,and that in group B was 96.45％,showing no statistical difference (P ＞ 0.05).Conclusion 27G vitrectomy has excellent effects in the treatment of spotted vision and causes no complications and requires no reoperation,thus it is worthy of clinical popularization and application.%目的 比较玻璃体消融术与玻璃体切除术治疗飞蚊症的临床疗效.方法 将在我科接受治疗的229例飞蚊症患者纳入研究,共322只患眼.按照治疗方法的不同分为A组(153眼)和B组(169眼),A组行YAG玻璃体消融术治疗,B组行27G玻璃体切除术治疗.术后1个月,采用问卷调查的方法对两组的病情改善情况进行调查.结果 A组的手术时间和玻璃体混浊物清除时间均显著短于B组(P＜0.05);A组有9例在术后1 w因治疗效果不佳,再次行玻璃体消除术,而B组无此病例.两组均未发生术后并发症,A组总有效率为95.42％;B组总有效率为96.45％,但无统计学差异(P＞0.05).结论 27G玻璃体切除术治疗飞蚊症的临床效果优良,且无并发症出现,同时无再次手术的风险,值得在临床上推广使用.