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三维重建辅助23G微创玻璃体切除术治疗增殖性糖尿病视网膜病变的效果

Effect of three-dimensional reconstruction-assisted 23G micro-invasive vitrectomy in patients with proliferative diabetic retinopathy.

作者信息

Fu Min, Lu Xiaohe, Hu Huijun, Feng Songfu, Wu Wei, Ke Xiaoyun, Xu Xiaoping, Chen Xiaohong, Hai Huiqiao

机构信息

Department of Ophthalmology, Zhujiang Hospital of Southern Medical University, Guangzhou, Guangdong 510280, P.R. China.

出版信息

Exp Ther Med. 2017 Jun;13(6):2912-2916. doi: 10.3892/etm.2017.4339. Epub 2017 Apr 13.

DOI:10.3892/etm.2017.4339
PMID:28587359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5450687/
Abstract

In the present study, we investigated the effect of optical coherence tomography (OCT) three-dimensional reconstruction-assisted 23G micro-invasive vitrectomy (abbreviated to'23G') in patients with proliferative diabetic retinopathy (PDR). A total of 66 PDR patients (66 eyes) were continuously selected and randomly divided into the control and observation groups with 33 patients in each group. Patients in the control group were treated with routine OCT examination while the patients in the observation group were treated with OCT three-dimensional retinal reconstruction. The 23G surgical method was applied to the two groups, and a comparison was made on the clinical effects in the two groups. The follow-up visits lasted for approximately 6 months, and it was found that the operative time, occurrence rate of intraoperative complications and postoperative complications as shown in the observation group were significantly less than those in the control group (P<0.05). The best corrected visual acuity (BCVA) was improved, the intraocular pressure was increased and retinal thickness was decreased after the treatment. The BCVA of patients in the observation group was significantly greater than that of patients in the control group while the intraocular pressure and retinal thickness of patients in the observation group were significantly less than those of patients in the control group (P<0.05). In conclusion, the effect of 23G surgical method in PDR patients can be improved and corresponding complications can be reduced under the assistance of OCT three-dimensional reconstruction.

摘要

在本研究中,我们调查了光学相干断层扫描(OCT)三维重建辅助23G微创玻璃体切除术(简称为“23G”)对增殖性糖尿病视网膜病变(PDR)患者的影响。连续选取66例PDR患者(66只眼),随机分为对照组和观察组,每组33例。对照组患者接受常规OCT检查,观察组患者接受OCT三维视网膜重建。两组均采用23G手术方法,并比较两组的临床效果。随访约6个月,发现观察组的手术时间、术中并发症及术后并发症发生率均明显低于对照组(P<0.05)。治疗后最佳矫正视力(BCVA)提高,眼压升高,视网膜厚度降低。观察组患者的BCVA明显高于对照组,而观察组患者的眼压和视网膜厚度明显低于对照组(P<0.05)。综上所述,在OCT三维重建的辅助下,23G手术方法对PDR患者的疗效可得到提高,相应并发症可减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8654/5450687/73a0a3ae6a2d/etm-13-06-2912-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8654/5450687/73a0a3ae6a2d/etm-13-06-2912-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8654/5450687/73a0a3ae6a2d/etm-13-06-2912-g00.jpg

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本文引用的文献

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Future opportunities in diabetic retinopathy research.糖尿病视网膜病变研究的未来机遇。
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New Diagnostic and Therapeutic Approaches for Preventing the Progression of Diabetic Retinopathy.
预防糖尿病视网膜病变进展的新诊断和治疗方法
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4
Four-port bimanual 23-gauge vitrectomy for diabetic tractional retinal detachment.四通道双手操作23G玻璃体切除术治疗糖尿病性牵拉性视网膜脱离
Acta Ophthalmol. 2016 Jun;94(4):365-72. doi: 10.1111/aos.12951. Epub 2016 Feb 8.
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Advanced image processing for optical coherence tomographic angiography of macular diseases.用于黄斑疾病光学相干断层扫描血管造影的先进图像处理技术。
Biomed Opt Express. 2015 Nov 2;6(12):4661-75. doi: 10.1364/BOE.6.004661. eCollection 2015 Dec 1.
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