羊膜覆盖技术治疗高度近视黄斑裂孔性视网膜脱离的多中心、随机对照研究

注册号:

Registration number:

ChiCTR2500105586 

最近更新日期:

Date of Last Refreshed on:

2025-07-07 15:29:16 

注册时间:

Date of Registration:

2025-07-07 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

羊膜覆盖技术治疗高度近视黄斑裂孔性视网膜脱离的多中心、随机对照研究

Public title:

Amniotic membrane covering for the treatment of macular hole retinal detachment in high myopia patients: a multicenter, randomized controlled study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

羊膜覆盖技术治疗高度近视黄斑裂孔性视网膜脱离的多中心、随机对照研究

Scientific title:

Amniotic membrane covering for the treatment of macular hole retinal detachment in high myopia patients: a multicenter, randomized controlled study

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:

林威 

研究负责人:

魏勇 

Applicant:

Wei Lin 

Study leader:

Yong Wei 

申请注册联系人电话:

Applicant telephone:

+86 135 8756 0390

研究负责人电话:

Study leader's
telephone:

+86 150 5755 1266

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:

lw1@mail.eye.ac.cn

研究负责人电子邮件:

Study leader's E-mail:

weiyongdoctor@163.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:

温州市鹿城区学院西路270号

研究负责人通讯地址:

温州市鹿城区学院西路270号

Applicant address:

No.270 Xueyue West Road, Lucheng District, Wenzhou City

Study leader's address:

No.270 Xueyue West Road, Lucheng District, Wenzhou City

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:

温州医科大学附属眼视光医院

Applicant's institution:

The Eye Hospital of Wenzhou Medical University

研究负责人所在单位:

温州医科大学附属眼视光医院

Affiliation of the Leader:

The Eye Hospital of Wenzhou Medical 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:

温医大眼视光伦审2024研第178号

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:

温州医科大学附属眼视光医院伦理委员会

Name of the ethic committee:

Ethics Committee of the Eye Hospital of Wenzhou Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2024-12-13 00:00:00

伦理委员会联系人:

谷佩秋

Contact Name of the ethic committee:

Peiqiu Gu

伦理委员会联系地址:

温州市鹿城区学院西路270号

Contact Address of the ethic committee:

No.270 Xueyue West Road, Lucheng District, Wenzhou City

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 136 9589 6445

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:

温州医科大学附属眼视光医院

Primary sponsor:

The Eye Hospital of Wenzhou Medical University

研究实施负责(组长)单位地址:

温州市鹿城区学院西路270号

Primary sponsor's address:

270 Xueyue West Road, Lucheng District, Wenzhou City

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

浙江

市(区县):

Country:

China

Province:

Zhejiang

City:

单位(医院):

温州医科大学附属眼视光医院

具体地址:

温州市鹿城区学院西路270号

Institution
hospital:

The Eye Hospital of Wenzhou Medical University

Address:

No.270 Xueyue West Road, Lucheng District, Wenzhou City

经费或物资来源:

院内课题经费

Source(s) of funding:

Project funding of the Eye Hospital of Wenzhou Medical University

研究疾病:

高度近视黄斑裂孔性视网膜脱离  

Target disease:

Macular hole retinal detachment due to high myopia

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:

随机平行对照 

Study design:

Parallel 

研究目的:

比较羊膜覆盖技术和内界膜覆盖/填塞技术的手术成功率,以及对高度近视MHRD的解剖结构和视觉功能的影响。  

Objectives of Study:

Compare the surgical success rates of the amniotic membrane covering technique and the inner limiting membrane covering/insertion technique, as well as their effects on the anatomical structure and visual function of macular hole retinal detachment in high myopia.

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. 眼轴≥32mm; 2. 玻璃体视网膜增生(PVR) C级或者以上; 3. 视网膜血管弓外存在裂孔; 4. 合并脉络膜脱离; 5. 合并青光眼、葡萄膜炎、视网膜血管性疾病等其他影响预后的眼部疾病; 6. 既往接受过玻璃体切除联合内界膜撕除手术; 7. 既往接受过巩膜后加固术或黄斑扣带术; 8. 术后不能俯卧位; 9. 患有精神疾患或者其他病情不能配合手术和随访; 10. 处于妊娠期或哺乳期,或计划在术后1年内怀孕; 11. 沟通能力和依从性欠佳的患者; 12. 参与其他临床试验。

Exclusion criteria:

1. Axial length of the eye >=32mm; 2. Vitreoretinal hyperplasia (PVR) grade C or above; 3. There are holes outside the vascular arch of the retina; 4. Combined with choroidal detachment; 5. Other eye diseases that affect prognosis, such as glaucoma, uveitis, retinal vascular diseases, etc. 6. Have undergone vitrectomy combined with internal limiting membrane removal surgery in the past; 7. Have previously undergone posterior scleral reinforcement surgery or macular buckling surgery; 8. Prone position is not allowed after the operation; 9. Suffering from mental disorders or other conditions that prevent cooperation with surgeries and follow-ups; 10. Be in the pregnancy or lactation period, or plan to become pregnant within one year after the operation; 11. Patients with poor communication skills and compliance; 12. Participate in other clinical trials.

研究实施时间:

Study execute time:

From 2025-07-16 00:00:00 To 2029-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-07-16 00:00:00 To 2028-06-30 00:00:00

干预措施:

Interventions:

组别:

羊膜组

样本量:

95

Group:

Amniotic group

Sample size:

干预措施:

羊膜覆盖黄斑裂孔

干预措施代码:

Intervention:

The amniotic membrane covers the macular hole

Intervention code:

组别:

内界膜组

样本量:

95

Group:

Inner limiting membrane group

Sample size:

干预措施:

内界膜翻转覆盖/填塞黄斑裂孔

干预措施代码:

Intervention:

The inner limiting membrane is flipped to cover/insert the macular hole

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

辽宁省 

市(区县):

 

Country:

China

Province:

Liaoning

City:

单位(医院):

大连华厦眼科医院 

单位级别:

三级 

Institution
hospital:

Dalian Huaxia eye hospital

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

辽宁省 

市(区县):

 

Country:

China

Province:

Liaoning

City:

单位(医院):

大连医科大学附属第一医院  

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Dalian Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海爱尔眼科医院 

单位级别:

三级 

Institution
hospital:

Shanghai Aier Eye Hospital

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市第一人民医院  

单位级别:

三甲 

Institution
hospital:

Shanghai General Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东省 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

中山大学中山眼科中心 

单位级别:

三甲 

Institution
hospital:

Zhongshan Ophthalmic Center of Sun Yat-sen University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖南省 

市(区县):

 

Country:

China

Province:

Hunan

City:

单位(医院):

中南大学湘雅二医院 

单位级别:

三甲 

Institution
hospital:

The Second Xiangya Hospital of Central South University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

天津市 

市(区县):

 

Country:

China

Province:

Tianjin

City:

单位(医院):

天津市眼科医院  

单位级别:

三甲 

Institution
hospital:

Tianjin Eye Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

天津市 

市(区县):

 

Country:

China

Province:

Tianjin

City:

单位(医院):

天津市第五中心医院(北京大学滨海医院) 

单位级别:

三甲 

Institution
hospital:

Tianjin Fifth Central Hospital (Peking University Binhai Hospital)

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川省 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西医院 

单位级别:

三甲 

Institution
hospital:

West China Hospital, Sichuan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川省 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

四川眼科医院 

单位级别:

三级 

Institution
hospital:

Sichuan Eye Hospital

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

北京市 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京大学人民医院 

单位级别:

三甲 

Institution
hospital:

Peking University People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

宁波市眼科医院 

单位级别:

三甲 

Institution
hospital:

Ningbo Eye Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

陕西省 

市(区县):

 

Country:

China

Province:

Shaanxi

City:

单位(医院):

西安市第一医院 

单位级别:

三甲 

Institution
hospital:

Xi’an No.1 Hospital

Level of the institution:

Tertiary A

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:

三甲 

Institution
hospital:

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

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

香港 

市(区县):

 

Country:

China

Province:

Hong Kong

City:

单位(医院):

汕头大学·香港中文大学联合汕头国际眼科中心 

单位级别:

三甲 

Institution
hospital:

Shantou International Eye Center of Shantou University · The Chinese University of Hong Kong Joint Project

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

丽水市中心医院 

单位级别:

三甲 

Institution
hospital:

Lishui Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏省 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

苏州大学理想眼科医院  

单位级别:

三级 

Institution
hospital:

Lixiang Eye Hospital of Soochow University

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

辽宁省 

市(区县):

 

Country:

China

Province:

Liaoning

City:

单位(医院):

沈阳市第四人民医院  

单位级别:

三甲 

Institution
hospital:

Shengyang the Fourth Hospital of People

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河南省 

市(区县):

 

Country:

China

Province:

Henan

City:

单位(医院):

郑州大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Zhengzhou University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

金华市中心医院 

单位级别:

三甲 

Institution
hospital:

Jinhua Municipal Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

云南省 

市(区县):

 

Country:

China

Province:

Yunnan

City:

单位(医院):

昆明医科大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Kunming Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

复旦大学附属眼耳鼻喉科医院 

单位级别:

三甲 

Institution
hospital:

Shanghai Eye and ENT Hospital, Fudan University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

重庆市 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆医科大学附属第一医院  

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Chongqing Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏省 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

南京医科大学附属无锡人民医院 

单位级别:

三甲 

Institution
hospital:

The Affiliated Wuxi People's?Hospital of?Nanjing Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏省 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

南京大学医学院附属鼓楼医院 

单位级别:

三甲 

Institution
hospital:

Affiliated Drum Tower Hospital, Medical School of Nanjing University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

北京市 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学附属北京同仁医院 

单位级别:

三甲 

Institution
hospital:

Beijing Tongren Hospital,Capital Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

浙江省人民医院 

单位级别:

三甲 

Institution
hospital:

Zhejiang Provincial People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

浙江省台州医院  

单位级别:

三甲 

Institution
hospital:

Zhejiang Taizhou Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

海南省 

市(区县):

 

Country:

China

Province:

Hainan

City:

单位(医院):

海南医科大学第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Hainan Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川省 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

绵阳万江眼科医院 

单位级别:

三级 

Institution
hospital:

Mianyang Wanjiang Eye Hospital

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

福建省 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

厦门大学附属厦门眼科中心 

单位级别:

三甲 

Institution
hospital:

Xiamen Eye Center Affiliated to Xiamen University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

黑龙江省 

市(区县):

 

Country:

China

Province:

Heilongjian

City:

单位(医院):

黑龙江省眼科医院 

单位级别:

三甲 

Institution
hospital:

Heilongjiang Eye Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

温州医科大学附属第二医院  

单位级别:

三甲 

Institution
hospital:

The Second Affiliated Hospital of Wenzhou Medical University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术后1月手术成功率

指标类型:

主要指标

Outcome:

The success rate of the operation one month after the operation

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后1月、3月、6月、12月黄斑裂孔I型闭合率

指标类型:

次要指标

Outcome:

The type I close rate of macular holes at 1 month, 3 months, 6 months and 12 months after the operation

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1月、3月、6月、12月黄斑裂孔II型闭合率

指标类型:

次要指标

Outcome:

The type II close rate of macular holes at 1 month, 3 months, 6 months and 12 months after the operation

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1月、3月、6月、12月黄斑裂孔I型闭合形态(U型、V型及是否存在黄斑过度胶质化)及微结构修复(椭圆体带和外界膜)变化

指标类型:

次要指标

Outcome:

The changes in the type I close morphology (U-shaped, V-shaped and whether there is excessive macular gelatinization) and microstructure repair (ellipsoidal zone and external membrane) of macular holes at 1 month, 3 months, 6 months and 12 months after the operation

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1月、3月、6月、12月视网膜复位率

指标类型:

次要指标

Outcome:

Retinal reattachment rates at 1 month, 3 months, 6 months and 12 months after the operation

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1月、3月、6月、12月最佳矫正视力

指标类型:

次要指标

Outcome:

The best corrected visual acuity at 1 month, 3 months, 6 months and 12 months after the operation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

安全性指标:随访期间黄斑裂孔复发率、视网膜脱离复发率、羊膜或内界膜瓣移位率、高眼压发生率、葡萄膜炎发生率、眼内炎发生率

指标类型:

次要指标

Outcome:

Safety indicators: Recurrence rate of macular hole during follow-up, recurrence rate of retinal detachment, displacement rate of amniotic or inner limiting membrane flap, incidence of high intraocular pressure, incidence of uveitis, and incidence of endophthalmitis

Type:

Secondary 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:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

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 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):

统计师利用中央随机系统产生随机序列

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

Statisticians use a central stochastic system to generate random sequences

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

None

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

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):

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

None

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:

CRF表和EDC系统

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

CRF chart and EDC system

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2025-07-07 15:29:08