与慢性孔源性视网膜脱离相关的危险因素。
Risk factors related to chronic rhegmatogenous retinal detachment.
作者信息
Li Yu-Min, Fang Wei, Jin Xiao-Hong, Li Jiu-Ke, Zhai Jing, Feng Li-Guo
机构信息
Ophthalmology Center, Sir Run Run Shaw Hospital, Hangzhou 310016, Zhejiang Province, China.
出版信息
Int J Ophthalmol. 2012;5(1):92-6. doi: 10.3980/j.issn.2222-3959.2012.01.19. Epub 2012 Feb 18.
AIM
To evaluate the clinical factors related to chronic rhegmatogenous retinal detachment (RRD).
METHODS
A retrospective case-control study. A total of 103 consecutive patients (103 eyes) with primary RRD were studied to evaluate the clinical factors related to chronic RRD.
RESULTS
Chi-square test was used to sift out the following associated factors with chronic RRD: younger patients (P=0.0028), better preoperative best corrected visual acuity (BCVA, P=0.0316), atrophic retinal break (P<0.0001), inferior retinal break (P<0.0001), smaller break (P=0.0005); then the independent risk factors related to chronic RRD was determined by stepwise logistic regression analysis as following: atrophic retinal break (odds ratio (OR)=7.997, P=0.007), inferior retinal break (OR=14.127, P<0.0001) and better preoperative BCVA (OR=1.636 P<0.0722) .
CONCLUSION
Atrophic retinal break, inferior retinal break and better preoperative BCVA are the independent risk factors related to chronic RRD.
目的
评估与慢性孔源性视网膜脱离（RRD）相关的临床因素。
方法
一项回顾性病例对照研究。共对103例连续的原发性RRD患者（103只眼）进行研究，以评估与慢性RRD相关的临床因素。
结果
采用卡方检验筛选出与慢性RRD相关的以下因素：年轻患者（P = 0.0028）、术前最佳矫正视力（BCVA）较好（P = 0.0316）、萎缩性视网膜裂孔（P < 0.0001）、下方视网膜裂孔（P < 0.0001）、较小的裂孔（P = 0.0005）；然后通过逐步逻辑回归分析确定与慢性RRD相关的独立危险因素如下：萎缩性视网膜裂孔（比值比（OR）= 7.997，P = 0.007）、下方视网膜裂孔（OR = 14.127，P < 0.0001）和术前BCVA较好（OR = 1.636，P < 0.0722）。
结论
萎缩性视网膜裂孔、下方视网膜裂孔和术前较好的BCVA是与慢性RRD相关的独立危险因素。
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