10k/25G斜面玻切头与5k/23G平面玻切头在合并纤维血管增生的PDR(增殖性糖尿病性视网膜病变)患者日间手术中的应用对比研究

注册号:

Registration number:

ChiCTR2300067743 

最近更新日期:

Date of Last Refreshed on:

2023-05-08 19:27:34 

注册时间:

Date of Registration:

2023-01-20 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

10k/25G斜面玻切头与5k/23G平面玻切头在合并纤维血管增生的PDR(增殖性糖尿病性视网膜病变)患者日间手术中的应用对比研究

Public title:

Comparison of 10k/25G beveled-tip probe to 5k/23G flat-tip probe in PPV in day surgery for the treatment of PDR patients with fibrovascular proliferation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

10k/25G斜面玻切头与5k/23G平面玻切头在合并纤维血管增生的PDR(增殖性糖尿病性视网膜病变)患者日间手术中的应用对比研究

Scientific title:

Comparison of 10k/25G beveled-tip probe to 5k/23G flat-tip probe in PPV in day surgery for the treatment of PDR patients with fibrovascular proliferation

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

张妍春 

研究负责人:

张妍春 

Applicant:

Zhang Yanchun 

Study leader:

Zhang Yanchun 

申请注册联系人电话:

Applicant telephone:

+86 189 9288 8336

研究负责人电话:

Study leader's
telephone:

+86 189 9288 8336

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

zhangyanchun1239@126.com

研究负责人电子邮件:

Study leader's E-mail:

zhangyanchun1239@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

陕西省西安市解放路21号

研究负责人通讯地址:

陕西省西安市解放路21号

Applicant address:

21 Jiefang Road, Xi'an, Shaanxi

Study leader's address:

21 Jiefang Road, Xi'an, Shaanxi

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

陕西省西安市人民医院(西安市第四医院), 陕西省眼科医院, 西北大学附属人民医院

Applicant's institution:

Shaanxi Eye Hospital, Xi'an People's Hospital (Xi'an Fourth Hospital), Affiliated People's Hospital of Northwest University

研究负责人所在单位:

陕西省西安市人民医院(西安市第四医院), 陕西省眼科医院, 西北大学附属人民医院

Affiliation of the Leader:

Shaanxi Eye Hospital, Xi'an People's Hospital (Xi'an Fourth Hospital), Affiliated People's Hospital of Northwest University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

20220143

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

西安市人民医院(西安市第四医院)医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Xi'an People's Hospital (Xi'an Fourth Hospital)

伦理委员会批准日期:

Date of approved by ethic committee:

2022-10-28 00:00:00

伦理委员会联系人:

冯燕

Contact Name of the ethic committee:

Feng Yan

伦理委员会联系地址:

陕西省西安市解放路21号

Contact Address of the ethic committee:

21 Jiefang Road, Xi'an, Shaanxi

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 29 6119 9627

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

陕西省西安市人民医院(西安市第四医院),陕西省眼科医院,西北大学附属人民医院

Primary sponsor:

Shaanxi Eye Hospital, Xi'an People's Hospital (Xi'an Fourth Hospital), Affiliated People's Hospital of Northwest University

研究实施负责(组长)单位地址:

陕西省西安市解放路21号

Primary sponsor's address:

21 Jiefang Road, Xi'an, Shaanxi

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

陕西省

市(区县):

西安

Country:

China

Province:

Shaanxi

City:

Xi'an

单位(医院):

西安市人民医院(西安市第四医院)

具体地址:

陕西省西安市解放路21号

Institution
hospital:

Xi'an People's Hospital (Xi'an Fourth Hospital)

Address:

21 Jiefang Road, Xi'an, Shaanxi

经费或物资来源:

本研究拟由ALCON公司提供资金支持,手术设备及场地由西安市人民医院(西安市第四医院)提供

Source(s) of funding:

Alcon (China) Ophthalmic Product Co.,Ltd

研究疾病:

合并纤维血管增生的增殖性糖尿病性视网膜病变  

Target disease:

proliferative diabetic retinopathy with fibrovascular proliferation

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

非随机对照试验 

Study design:

Non randomized control 

研究目的:

10K/25G斜面玻切头与5K/23G平面玻切头在合并纤维血管增生(FVP)的增殖性糖尿病性视网膜病变(PDR)患者进行日间手术中的应用对比。  

Objectives of Study:

To evaluate and compare the intraoperative precision of 10k/25G beveled-tip probe (BTP) versus 5k/23G flat-tip probe (FTP) in Pars Plana Vitrectomy (PPV) in day surgery for the treatment of Proliferative Diabetic Retinopathy (PDR) patients with fibrovascular proliferation (FVP).

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.无纤维血管增生的PDR,或术中观察的FVP为1级; 2.随访期不足3个月或术后不能保持的患者; 3.既往有任何玻璃体视网膜手术史或穿透性眼外伤; 4.在术前3个月内接受玻璃体内注射任何抗-VEGF药物(除了术前1周内)或类固醇激素; 5.术前低眼压(IOP<6mmHg)或经历抗青光眼手术,或局部使用降眼压药物,不受控制的青光眼,新生血管性青光眼; 6.严重的眼部并发症如葡萄膜炎; 7.怀孕或计划怀孕; 8.被研究者认为是不合适的候选人。

Exclusion criteria:

1. PDR without fibrovascular proliferation, or FVP grade 1 by intraoperative observation; 2. Follow-up period of less than 3 months; 3. The patients who are incapable of postoperative posturing; 4. With history of any previous vitreoretinal surgical procedures(incl. scleral buckling) or penetrating ocular trauma, primary rhegmatogenous retinal detachment; 5. With history of receiving intravitreal injection of any anti-VEGF agent (other than within 1 week preoperatively) or steroids within last 3 months; 6. Hypotony (IOP<6mmHg) at baseline or undergone previous glaucoma surgery, treated with topical IOP-lowering medication at anytime from baseline to the time of surgery, uncontrolled glaucoma, neovascular glaucoma; 7. Significant ocular comorbidities such as uveitis; 8. Pregnant or planning to become pregnant; 9. Considered to be not appropriate candidate by the investigator.

研究实施时间:

Study execute time:

From 2023-01-18 00:00:00 To 2023-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-01-18 00:00:00 To 2023-12-31 00:00:00

干预措施:

Interventions:

组别:

干预组

样本量:

42

Group:

Intervention group

Sample size:

干预措施:

采用10k/25G斜面玻切头

干预措施代码:

Intervention:

10k/25G beveled-tip probe (BTP)

Intervention code:

组别:

对照组

样本量:

111

Group:

Control group

Sample size:

干预措施:

采用5k/23G平面玻切头(回顾)

干预措施代码:

Intervention:

5k/23G flat-tip probe (FTP) (Review)

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

陕西省 

市(区县):

 

Country:

China

Province:

Shaanxi

City:

单位(医院):

西安市人民医院(西安市第四医院) 

单位级别:

三级甲等 

Institution
hospital:

Xi'an People's Hospital (Xi'an Fourth Hospital)

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术中纤维血管增生膜下需要电凝止血的出血部位数量

指标类型:

主要指标

Outcome:

intraoperative bleeding sites under fibrovascular proliferation membranes that need electrocoagulation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中通过切口的有效器械交换次数

指标类型:

次要指标

Outcome:

Effective number of instrument exchanges through ports (incl. electrocoagulation tips, probes, forceps, scissors, flute needle, visco dissection cannula)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

实际玻璃体切除时间

指标类型:

次要指标

Outcome:

Actual vitrectomy time (incl. core & peripheral PPV, and fibrovascular membrane removal)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后眼压

指标类型:

次要指标

Outcome:

Postoperative intraocular pressure

Type:

Secondary indicator

测量时间点:

术后:1天、2周、1月、3月

测量方法:

Measure time point of outcome:

Post-op: 1day, 2 week, 1 month, 3 months

Measure method:

指标中文名:

术前术后视力变化

指标类型:

次要指标

Outcome:

Changes of Visual outcome

Type:

Secondary indicator

测量时间点:

术前及术后2周、1月、3月

测量方法:

裸眼视力,Log MAR

Measure time point of outcome:

pre-op and post-op at 2 week, 1 month and 3 month

Measure method:

UCVA,Log MAR

指标中文名:

术后并发症

指标类型:

副作用指标

Outcome:

Post-op complications

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术前抗VEGF使用情况

指标类型:

附加指标

Outcome:

preoperative anti-VEGF

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术前视网膜光凝史

指标类型:

附加指标

Outcome:

preoperative PRP history

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

眼内填充物种类

指标类型:

附加指标

Outcome:

Intra-op: type of tamponade

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中医源性视网膜裂孔及血管断裂

指标类型:

附加指标

Outcome:

the rate of iatrogenic vessels breaks and iatrogenic retinal tears

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

None

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

None

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 80 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

此研究为比较、队列研究。干预组的数据将被前瞻性地纳入。

Randomization Procedure (please state who generates the random number sequence and by what method):

This study is a comparative and cohort study. The data of the intervention group will be included prospectively.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

临床试验公共管理平台

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

http://www.medresman.org.cn/login.aspx

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

电子采集和管理系统

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Electronic Data Capture, EDC

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2023-01-20 09:00:47