主堡里塑堂堂皇塑堂型堂苤查垫!j生!旦笙!i鲞箜!塑鱼!堕!QP!!里殳P!!!!!里!!!堕兰尘，』塑!!翌型!!垫堕二旦堕生玻璃体手术治疗外伤性黄斑裂孔的预后及影响因素侯婧姜燕荣【摘要】目的评价玻璃体手术治疗外伤性黄斑裂孔的预后及其影响因素分析。方法回顾性病例研究。行玻璃体切割术的外伤性黄斑裂孑L患者54例(54眼)，分析这些裂孑L愈合情况、视力预后及术前视力、病程，黄斑孔径、有无术前眼前段或眼后段合并症与视力预后的关系。采用配对t检验和卡方检验。结果外伤性黄斑裂孔手术后裂孔闭合48眼(89％)，裂孔贴附6眼。闭合时间为(20．6±10．1)d。视力提高28眼(52％)，术后视力明显提高(t=4．496，P<0．01)。术前视力、病程、术前眼前段合并症三因素在不同视力预后组之间差异无统计学意义。术前黄斑裂孑L直径、术前眼后段合并症两因素在不同视力预后组之间差异有统计学意义(X2=6．006、10．650，P<0．05)。结论玻璃体手术治疗外伤性黄斑裂孔有很好的解剖预后和较好的功能预后，但合并眼后段病变的患者视力预后差。【关键词】视网膜穿孑L，黄斑；玻璃体切除术；预后AnanalysisoftheprognosisandfactorsofvitrectomyforatraumaticmacularholeHOUJing，JIANGYah—roag．Departmentofophthalmology，PekingUniversityPeople7sHospital，KeyLaboratoryofVisionLossandRestoration，Min厶tryofEducation，Bering100044，ChinaCorrespondingauthor：JIANGYan—rong．Email：drjyr@vip．si"(kcD，n【Abstract】ObjectiveToevaluatetheprognosisandfactorsofvitrectomyforatraumaticmacularhole．MethodsAretrospectivecasestudywasperformedonaconsecutiveseriesof54patients(54eyes)whounderwentvitrectomyformacularholesurgery．Thepostoperativeanatomicclosurestatusofthehole，visualacuityprognosis，andmultiplefactorsrelatedtoprognosis，includingpreoperativevisualacuity，durationofdisease，sizeofthemaeularhole，andpreoperativeanteriororposteriorsegmentcomplications，wereanalyzed．Datawereanalyzedwithapairedttestandchi—squaretest．ResultsAftersurgery，48(89％)traumaticmacularholeeyeshadclosure；6eyeswithtraumaticmacularholeseyeshadjointresults．Theclosuretimewas20．6±10．1days．Visualacuity(VA)increasedin28eyes(52％)．TherewasasignificantdifferencebetweenpreoperativeVAandpostoperativeVA(t=4．496，P
