摘要
目的 分析联合手术用于老年性白内障合并特发性黄斑前膜的价值。方法 对2021年1月-2022年9月本科接诊老年性白内障合并特发性黄斑前膜病人（n=76）进行随机分组，试验和对照组各38人，前者采取联合手术疗法，后者行常规手术治疗。对比黄斑区视网膜厚度等指标。结果 关于视力这个指标，治疗结束时：试验组数据（0.44±0.12），和对照组数据（0.26±0.09）相比更高（P＜0.05）。关于黄斑区视网膜厚度这个指标：治疗结束时，试验组数据（270.24±51.68）um，和对照组数据（279.33±54.29）um相比更低（P＜0.05）。关于并发症这个指标：试验组发生率2.63%，和对照组数据21.05%相比更低（P＜0.05）。关于sf-36评分这个指标：治疗结束时，试验组数据（87.64±2.19）分，和对照组数据（81.59±3.46）分相比更高（P＜0.05）。结论 老年性白内障合并特发性黄斑前膜用联合手术疗法，病人的预后更好，并发症发生率更低，视力改善更加明显，黄斑区视网膜厚度降低更为迅速。
关键词： 特发性黄斑前膜；并发症；老年性白内障；联合手术
Abstract
Objective To analyze the value of combined operation for senile cataract complicated with idiopathic macular membrane. Methods The patients with senile cataract complicated with idiopathic macular membrane (n=76) who received undergraduate treatment from January 2021 to September 2022 were randomly divided into 38 subjects in the trial and 38 subjects in the control group. The former received combined surgical therapy and the latter received conventional surgical treatment. The thickness of retina in macular area was compared. Results Visual acuity was higher in the experimental group (0.44±0.12) than in the control group (0.26±0.09) at the end of treatment (P < 0.05). As for the index of retinal thickness in macular area: at the end of treatment, the experimental group had a lower (270.24±51.68) um than the control group (279.33±54.29) um (P < 0.05). As for the complication index, the incidence rate of the experimental group was 2.63%, which was lower than that of the control group (21.05%) (P < 0.05). Regarding the sf-36 score, at the end of treatment, the score of the experimental group (87.64±2.19) was higher than that of the control group (81.59±3.46) (P < 0.05). Conclusion Senile cataract combined with idiopathic macular anterior membrane has better prognosis, lower complication rate, more obvious visual improvement, and more rapid reduction of retinal thickness in macular area.
Key words： Idiopathic macular premembrane; Complications; Senile cataract; Combined operation
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