巩膜外手术治疗孔源性视网膜脱离的临床分析
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Evaluation of treating rhegmatogenous retinal detachment by outer-scleral operation
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    摘要:

    探讨两种巩膜外手术方式治疗孔源性视网膜脱离的效果。 方法:选取我院孔源性视网膜脱离(RRD)患者220例220眼,其中复杂性视网膜脱离70例70眼,非复杂性视网膜脱离150例150眼。分别实施巩膜环扎+外加压+冷凝+放液(或不放液)术及巩膜外加压+冷凝+放液(或不放液)术。 结果:两种手术方式对复杂性RRD和非复杂性RRD的效果均无统计学意义(P>0.05),但非复杂性视网膜脱离患者一次性成功率为89.3%,而复杂性视网膜脱离患者一次性成功率仅为72.9%。 结论:巩膜外手术对非复杂性视网膜脱离是一种行之有效的手术。而巩膜环扎在视网膜脱离手术中并非完全必要

    Abstract:

    To evalutate the clinical effects of patients with rhegmatogenous retinal detachment(RRD)treated by outer-scleral operation. METHODS:Totally 220 cases (220 eyes) with RRD at our hospital were analysed randomly.There were 70 cases (70 eyes) suffering from complicated RRD and 150 cases (150 eyes) from non-complicated RRD.They were performed scleral encircling and buckling associated with cryotherapy and drainage(or without drainge)or scleral buckling associated with cryotherapy and drainage(or without drainge)respectively. RESULTS:No significant difference was shown between the two operations for complicated RRD and non-complicated RRD. The rate of anatomic retinal attachment of non-complicated RRD reached 89.3%,while that of complicated RRD stood at 72.9%. CONCLUSION:Outer-scleral operation is a kind of effective surgery to treat non-complicated RRD,it is better to perform vitreoretinal surgery on complicated RRD. Scleral encircling is not very necessary in the RRD surgery.

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易银武,胡昌波,朱学春,等.巩膜外手术治疗孔源性视网膜脱离的临床分析.国际眼科杂志, 2012,12(4):770-771.

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  • 收稿日期:2011-12-16
  • 最后修改日期:2012-02-27
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