在晚期视网膜血管母细胞瘤中PPV的作用- 一个系统性审查
Payal N Shah1, P Mahesh Shanmugam2, Buse Guneri Beser3
1Department of vitreoretina and ocular oncology, Sankara Eye Hospital, Bangalore, India.
International ophthalmology clinics
|September 25, 2025
概括
帕斯平面视切除术 (PPV) 对视网膜血管母细胞瘤 (RH) 具有解剖学效果,在大多数情况下可以实现视网膜重新连接. 然而,由于并发症和新的瘤发展,长期的视觉结果仍然受到警.
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
- 在瘤学瘤学.
背景情况:
- 视网膜血管母细胞瘤 (RH) 可以导致视力损失通过并发症,如黄斑胀和视网膜脱落.
- 帕斯平面玻璃切除术 (PPV) 是对RH并发症的关键手术干预.
研究的目的:
- 评估帕斯普拉纳视切除术 (PPV) 在视网膜血管母细胞瘤 (RH) 的眼睛中的结果.
主要方法:
- 在多个数据库 (PubMed,Embase等) 的系统文献搜索. 在2000年至2025年期间.
- 包括至少4个RH病例的回顾性病例系列.
- 来自8项研究的数据的定性和定量综合 (107只眼睛).
主要成果:
- 在PPV后,解剖学上的成功 (视网膜重新连接) 从70%到100%不等.
- 尽管有解剖学上的成功,但许多眼睛的视觉结果很差.
- 从回顾案例系列中获得的有限证据 (IV级).
结论:
- 在管理RH并发症方面,PPV显示了解剖学效果.
- 长期的挑战包括新的瘤生长和增殖性玻璃红蛋白病变 (PVR).
- 对于RH的PPV后的视觉结果仍然受到警.
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