%0 Journal Article
%T 手术治疗孔源性视网膜剥离的Meta分析
%A 孙俏
%A 孙涛
%A 徐艺
%A 杨晓璐
%A 许迅
%J 华西医学
%P 912-918
%D 2011
%X 【】　目的　对比玻璃体手术和巩膜环扎术对治疗非复杂性孔源性视网膜剥离（rhegmotogenousretinaldetachment，RRD）的疗效。　方法　检索Pubmed、Embase、Cochrane对照试验中心注册数据库，对相关的随机对照临床试验（randomizedcontrolledtrialc，RCT）按Cochrane协作网推荐的方法进行Meta分析。　结果　有晶状体组包括3篇RCT共523例，人工晶状体/无状晶体组包括4篇RCT共690例。有晶状体组玻璃体手术（parsplanavitrectomy，PPV）术后白内障的发生率更高OR=4.18，95%CI（2.75，6.35），P<0.00001。人工晶状体/无晶状体组PPV术后最终解剖复位率更高OR=1.97，95%CI（1.04，3.73），P=0.04。　结论　巩膜环扎术通过降低术后白内障的发生率在治疗非复杂性有晶状体眼RRD中占有优势；PPV可提高最终解剖复位率，更适合人工晶状体/无晶状体眼RRD。【Abstract】　Objective　Tocomparetheefficacyofparsplanavitrectomy(PPV)andscleralbuckling(SB)intreatinguncomplicatedrhegmatogenousretinaldetachment(RRD).　Methods　Randomizedcontrolledtrials(RCTs)weresearchedfromPubmed,EmbaseandtheCochraneCentralRegister.Meta-analysiswasconductedusingthemethodsrecommendedbytheCochraneCollaboration.　Results　ThreeRCTswith523phakiceyesandfourRCTswith690pseudophakic/aphakiceyeswereincluded.Inthephakicgroup,therateofpostopertativecataractwashigherwithPPVOR=4.18,95%CI(2.75,6.35),P<0.00001.Inthepseudophakic/aphakicgroup,finalanatomicsuccessoutcomewasinfavorofPPVOR=1.97,95%CI(1.04,3.73),P=0.04.　Conclusions　SBresultsbetterintermsofpostoperativecataractinphakicRRDs.PPVismorelikelytoachieveafavorablefinalreattachmentinpseudophakic/aphakicRRDs.
%K 孔源性视网膜剥离
%K 手术治疗
%K Meta分析
%U http://www.hxyxqk.com.cn/oa/DArticle.aspx?type=view&id=201106032