在玻璃体出血中早期与晚期帕尔斯平面玻璃切除术:系统性审查
Filippo Confalonieri1,2,3,4, Gianmaria Barone1,2, Vanessa Ferraro1,2
1Department of Ophthalmology, IRCCS Humanitas Research Hospital, 20089 Milan, Italy.
Journal of clinical medicine
|October 28, 2023
概括
针对玻璃体出血 (VH) 的早期帕斯普拉纳玻璃切除术 (PPV) 在某些情况下可能是有益的. 这种方法可以被认为是由于VH导致的视力障碍的现代标准护理.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜外科手术 视网膜外科手术
背景情况:
- 玻璃体出血 (VH) 是一种常见的玻璃网膜状况,导致视力受损.
- 在 fundus-obscuring VH 病例中,帕斯普拉纳玻璃切除术 (PPV) 的最佳时间仍在争论中.
研究的目的:
- 系统地审查有关玻璃体出血 (VH) 的帕斯普拉纳玻璃切除术 (PPV) 时间的文献.
- 评估有关VH早期或晚期手术干预的证据质量.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 使用推评估,开发和评估 (GRADE) 方法评估证据的强度.
- 基于2011年牛津证据医学中心 (OCEBM) 建议进行评估的研究.
主要成果:
- 最初的搜索结果是1731篇文章;在删除重复和抽象选后,剩下1203篇.
- 对30篇文章的全文审查导致包括18项研究.
- 有关VH治疗时间的研究数量有限.
结论:
- 在特定的玻璃体出血 (VH) 病例中,早期的帕斯普拉纳玻璃切除术 (PPV) 似乎比晚期的PPV具有优势.
- 早期的PPV可以被认为是对特定的VH患者的现代护理标准.
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