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目的:通过比较玻璃体切除联合内界膜剥离术和玻璃体切除术,探讨更适合黄斑裂孔患者的手术方法。方法:对2006年1月至2008年12月在我院确诊有黄斑裂孔的39名患者40眼随机分为两组:A组行玻璃体切除联合内界膜剥离术,B组行玻璃体切除术,对比两组患者术前、术后最佳矫正视力、视野检查结果、ERG和VEP,OCT检查黄斑裂孔闭合的情况。结果:两组术前最佳矫正视力无统计学差异。A组的术后最佳矫正视力、视野检查结果、ERG和黄斑裂孔闭合率均好于B组。两组术后6个月VEP比较无统计学差别。结论:玻璃体切除联合内界膜剥离较玻璃体切除术更能有效治疗黄斑裂孔。
OBJECTIVE: To compare operative methods of vitrectomy combined with intramembrane debridement and vitrectomy for more suitable macular hole patients. Methods: From January 2006 to December 2008, 40 eyes of 39 patients diagnosed with macular hole in our hospital were randomly divided into two groups: group A with vitrectomy combined with internal limiting membrane dissection, group B with vitrectomy, Preoperative and postoperative best corrected visual acuity, visual field test results, ERG and VEP, OCT were compared macular hole closure. Results: There was no significant difference between the two groups in preoperative best corrected visual acuity. A group of best corrected visual acuity, visual field test results, ERG and macular hole closure rate were better than the B group. There was no significant difference in VEP between the two groups at 6 months after operation. Conclusion: Vitrectomy combined with the dissection of the internal limiting membrane is more effective in treating macular hole than vitrectomy.