玻璃体术后硅油界面前纤维膜对Ⅵ期糖尿病视网膜病变疗效影响

朱红黑龙江省七台河矿业精煤集团有限责任公司总医院，黑龙江七台河　154600

玻璃体术后硅油界面前纤维膜对Ⅵ期糖尿病视网膜病变疗效影响

朱红
黑龙江省七台河矿业精煤集团有限责任公司总医院，黑龙江七台河154600

目的探讨玻璃体术后硅油界面前纤维膜对Ⅵ期糖尿病视网膜病变疗效的影响。方法 随机择取46例在2014 年2月—2015年2月期间该院接诊并接受了玻璃体手术的患者，对其临床资料展开回顾性的分析，在行以常规性的术前检查之后展开手术处理，借助经过睫状体的平坦位置三通道玻璃体彻底切除手术。最后按照玻璃体手术之后患者硅油前界面发生的变化，把全部患者分成硅油界面前纤维膜小组 （A组）以及不存在硅油界面前纤维膜小组（B组）。结果A组和B组术前视力对比没有明显的差异（P＞0.05）；术后经过3个月的随访，两组之间的视力存在一定的差异有统计学意义（P＜0.05）。结论在玻璃体手术之后发生硅油界面前纤维膜，可能会令患者出现低眼压、周边视网膜组织脱离以及睫状体脱离等各种不良反应，对患者视力功能恢复产生非常不良的影响，不利于恢复。

玻璃体术后；硅油界面前纤维膜；糖尿病视网膜病变

［Abstract］Objective To investigate the effect of vitreous body after silicon oil interface membrane in front of the fourth stage of diabetic retinopathy.Methods Randomly chooses 46 in February 2014 to 2015 during the month of February in our hospital admissions and underwent vitreoretinal surgery patients，a retrospective analysis on the clinical data row in a routine preoperative examination and surgical operation treatment，with the help of ciliary body flat position three channel vitreous after radical resection.At the end，according to the changes of silicone oil front interface，all patients were divided into silicone oil interface membrane group（A group）and non silicone oil interface membrane group（B group）.Results There was no significant difference in preoperative visual acuity between A group and B group（P＞0.05）.After three months of follow-up，there was a certain difference in visual acuity between the two groups.There was a statistical significance in the presence of P＜0.05.Conclusion After vitreous surgery occurred before silicone oil interface fiber membrane，possibly will make patients with low intraocular pressure（IOP），peripheral retina detachment and ciliary body detachment，and so on a variety of adverse reactions，on the function of visual acuity recovery have a very bad impact，not conducive to recovery.

［Key words］After vitreous surgery；Silicone oil interface membrane；Diabetic retinopathy

临床当中，发生牵拉性的视网膜脱离症状往往是在增生性的糖尿病视网膜疾病当中最为严重的一种，会对患者视力产生非常严重的威胁［1］。通常来说，对患者行以玻璃体视网膜手术能够治疗严重增生糖尿病视网膜疾病［2］。为探讨玻璃体术后硅油界面前纤维膜对Ⅵ期糖尿病视网膜病变疗效的影响。……