查詢結果分析
相關文獻
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頁籤選單縮合
題 名 | Comparison of Primary Gas Tamponade and a Vitrectomy for Repair of Macular Holes with Retinal Detachment in Highly Myopic Eyes=針對高度近視合併初次黃斑部裂孔與續發性視網膜剝離,使用氣體壓迫術和玻璃體切除術的結果比較 |
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作 者 | 郭千能; 郭錫恭; 郭千哲; 張學文; 郭明倫; 陳勇仁; 蔡世豪; 吳佩昌; 蘇俊嘉; | 書刊名 | 長庚醫學 |
卷 期 | 26:8 2003.08[民92.08] |
頁 次 | 頁578-585 |
分類號 | 416.703 |
關鍵詞 | 黃斑部裂孔; 視網膜剝離; 高度近視; 後極部葡萄腫; 氣體壓迫術; 玻璃體切除術; Macular hole; Retinal detachment; High myopia; Posterior staphyloma; Gas tamponade; Vitrectomy; |
語 文 | 英文(English) |
中文摘要 | 背景:在高度近視合併黃斑部裂孔與續發性視網膜剝離的病人,優先使用氣體壓迫術或玻璃體切除術作為初次的治療,在文獻上並沒有標準的規範。本文主要探討此兩組手術方式的治療結果比較,以提供術式選擇的參考。 方法:從1986年至2002年,紀錄高雄長庚醫院62隻眼睛/61病人合併高度近視(度數大於六百度以上、眼軸大於26毫以上或者後極部葡萄腫)合併黃斑部裂孔與續發性視網膜剝離病例(無周邊視網膜裂孔)。他們分別接受初次氣體壓迫術或玻璃切除術合併其他輔助手術,使狦統計方法分析兩種手術病人的基本資料與術後結果。 結果:在臨床檢查的基本資料中,除了手術前視力(p=0.016)與視網膜剝離範圍(p=0.001)(侷限在後極部葡萄腫的範圍)之外,其他在性別、年齡、屈光度後、眼軸長度、水晶體狀態、術前症狀出現時間的比較,初次氣體壓迫術與玻璃體切除術兩者並沒有統計學上的差異。比較一組術後的結果,除了最終視力改善程度(p=0.003)之外,其除成成功率、失敗原因、達到穩定手術次數、術後追蹤時間,兩組並無達到統計的差異。 結論:在高度近視合併黃斑部裂孔與續發性視網膜剝離的病人,如果手術前視力較差或視網膜剝離範圍較大,建議優先使用玻璃體切除術。相反,若剝離範圍侷限在後極部葡萄腫,在考慮安全性與便利性的因素下,可先施行氣體壓迫術。 |
英文摘要 | Background: A preference for the primary use of standard gas tamponade or a vitrectomy combined with other adjuvant meansures to treat myopic eyes with macular holes (MHs) and retinal detachment (RD) has hot been established. This article evaluates postoperative outcomes of both surgeries, and recommends a surgical method based on the findings. Methods: we reviewed the records of 61 patients (62 eyes) withi high myopia (>-6.0 diopter, >26 mm of axial length, or visible posterior staphyloma) and MHs April 1986 and September 2002 in southern Taiwan. Descriptive statistics of baseline examinations and results of the operations were retrospectively analyzed. Results: Baseline clinical data of the primary gas tamponade and vitrectomy groups did not significantly differ, except for the mean preoperative log (minimum angle of resolution) visual acuity (VA) (p=0.016) and extent of RD (p=0.001, located in the posterior staphyloma only). None of the results (including success rate, cause of failure, number of operations until stability was achieved, and mean duration of postoperative follow-up) of the operations in the 2 groups significantly differed, except for the improved VA at the final status (p=0.03). Conclusion: Among highly myopic eyes with MHs, we sugest a vitrectomy for those with poorer VA and a greater extent of RD. However, gas tamponade is strongly recommended for those with RD with posterior staphyloma (PS) only because this procedure is safer and requires no sophisticated instruments. |
本系統中英文摘要資訊取自各篇刊載內容。