黄娜娟,李维娜,陈吉婷,赖钟祺,杜亚茹.25G+微创玻璃体切割术联合雷珠单抗治疗玻璃体视网膜疾病效果分析[J].,2024,(21):4161-4163 |
25G+微创玻璃体切割术联合雷珠单抗治疗玻璃体视网膜疾病效果分析 |
Analysis of the Effect of 25G+Minimally Invasive Vitrectomy Combined with Ranibizumab in the Treatment of Vitreoretinal Diseases |
投稿时间:2024-06-20 修订日期:2024-07-15 |
DOI:10.13241/j.cnki.pmb.2024.21.033 |
中文关键词: 增生性玻璃体视网膜病变 玻璃体切割术 雷珠单抗 |
英文关键词: Proliferative vitreoretinopathy Vitrectomy Ranibizumab |
基金项目:福建省自然科学基金项目(2023J01241) |
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中文摘要: |
摘要 目的:探究25G+微创玻璃体切割术联合雷珠单抗治疗玻璃体视网膜疾病效果。方法:选取我院2022.1-2024.1收治的80例增生性玻璃体视网膜病变(PVR)患者,分为对照组39例和观察组41例。对照组采用25G+微创玻璃体切割术治疗,观察组在对照组基础上使用玻璃体腔内注射雷珠单抗。比较两组各项指标及并发症发生率。结果:观察组手术时间、水肿、出血、渗出吸收时间均短于对照组,术中出血量少于对照组(P<0.05);术后观察组视力高于对照组,黄斑中央凹陷厚度、眼压低于对照组(P<0.05);观察组房水IFN-γ、IL-6、IL-10水平低于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论:PVR患者应用25G+微创玻璃体切割术联合雷珠单抗可有效缩短手术时间,改善视力,抑制炎症反应,降低并发症发生率。 |
英文摘要: |
ABSTRACT Objective: To investigate the effect of 25G+ minimally invasive vitrectomy combined with ranibizumab in the treatment of vitreoretinal diseases. Methods: A total of 80 patients with hyperplastic vitreoretinopathy (PVR) admitted to 2022.1-2024.1 in our hospital were divided into 39 patients in the control group and 41 patients in the observation group. The control group was treated with 25G+minimally invasive vitrectomy, and the observation group used intravitreal injection of ranizzumab based on the control group. The various indexes and complication rates were compared between the two groups. Results: The operation time, edema, bleeding, and absorption time were shorter than the control group, and the intraoperative bleeding volume was less than the control group (P<0.05); the postoperative visual acuity was higher than the control group, the central macular thickness and intraocular pressure were lower than the control group (P<0.05); the aqueous IFN-γ, IL-6, and IL-10 were lower than the control group (P<0.05); the complication rate was lower than the control group (P<0.05). Conclusion: The application of 25G+minimally invasive vitrectomy combined with ranibizumab in PVR patients can effectively shorten the surgical time, improve vision, inhibit inflammatory reactions, and reduce the incidence of complications. |
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