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目的:分析西班牙某三级医院视网膜科接受手术治疗的黄斑裂孔性视网膜脱离患者。着重强调诊断与手术之间的时间间隔,试图寻找术前时间与视力下降之间的关系。方法:回顾性研究。包括77例在Universitario Fundación Jiménez Díaz医院接受手术治疗的黄斑裂孔性视网膜脱离患者。结果:77例患者中有72例(72眼)参与了该研究。初步手术成功率为94.44%(68/72),采取1或2次干预措施后,全部患者成功率为98.61%(71/72)。术前平均时间为5.3±2.26d。7(9.72%)例患者视力下降2行或更多。视力下降与患者年龄之间具有统计学意义(P=0.001)。研究表明进一步手术干预使视网膜再次附着与视力下降检测之间存在相关联系(P=0.045)。而研究未能发现视力下降与术前时间(P=0.100),手术类型(P=0.578)或晶状体状态(P=0.413)之间具有统计学意义。结论:每家医院都应该研究治疗此类型视网膜脱离治疗的方式,以优化利用现有资源,确保最佳的解剖结构复位和功能恢复。
OBJECTIVE: To analyze the patients with macular hole retinal detachment treated by retinal surgery in a tertiary hospital in Spain. Emphasis is placed on the time between diagnosis and surgery, trying to find the relationship between preoperative time and vision loss. Methods: Retrospective study. Including 77 patients with macular hole retinal detachment undergoing surgery at Universitario Fundación Jiménez Díaz Hospital. Results: Of the 77 patients, 72 (72 eyes) were involved in the study. The success rate of primary surgery was 94.44% (68/72). After one or two interventions, the success rate of all patients was 98.61% (71/72). The mean preoperative time was 5.3 ± 2.26 days. 7 (9.72%) cases of patients with decreased visual acuity of 2 lines or more. There was a statistically significant difference between vision loss and patient age (P = 0.001). Studies have shown that there is a correlation between further retinal reattachment and visual acuity after further surgical intervention (P = 0.045). However, the study failed to find statistically significant differences between visual acuity and preoperative time (P = 0.100), surgical type (P = 0.578), or lens status (P = 0.413). Conclusion: Each hospital should study ways of treating this type of retinal detachment to optimize access to existing resources and ensure optimal anatomic reduction and functional recovery.