摘要
目的：探讨不同的手术方法对巨大裂孔视网膜脱离病例的预后影响。方法：回顾１９９５年１月～１９９７年３月间我院住院治疗的巨大裂孔视网膜脱离７２例７３眼。手术方法分为四种。结果：术后随访３月，总视网膜解剖复位率为５７／７３（７８．１％），其中单纯型为１４／１６（８７．５％），复杂型为４３／５７（７５．４％）。单纯型与复杂型患眼的术后复位率无统计学差异。环扎加压术后，单纯型患眼的复位率高于复杂型。对于复杂型患眼，玻璃体手术合并环扎加压术与否对其复位率无影响；玻璃体手术中使用Ｃ１０Ｆ１８与否对其复位率无影响。结论：环扎加压术对于治疗单纯型巨大裂孔视网膜脱离，尚属一种有效的方法。Ｃ３Ｆ８气体和全氟碳液是治疗有翻转后瓣的巨大裂孔视网膜脱离的有效手段。部分复杂型巨大裂孔视网膜脱离常用硅油填充。根据患眼的具体情况，选择合适的手术方法至关重要。
Objective:To inquire into the effect of different surgical procedures on the prognosis of retinal detachment with giant retinal tears (GRTs).Methods:73 eyes of 72 patients were analyzed retrospectively between Jan.1995 and Mar.1997.The surgical procedures included four types.Results:After follow up of 3 months,57(78 1%) had remained attached,included 87 5%(14/16)simple GRTs and 75 4%(43/57)complicated GRTs.The retinal reattachment rate of simple GRTs cases was higher than complicated GRTs after scleral buckling,and same as complicated GRTs.For complicated GRTs,both vitrectomy combined with or without scleral buckling and in vitrectomy using C 10 F 18 or not have no statistical significant influence on retinal reattachment rate.Conclusion:Scleral buckling is still an effective method on treating simple GRTs.Using C 10 F 18 and C 3F 8 in vitrectomy provides simple、safe、useful adjuncts to return the flaps of giant tears and flat the retinas.A part of complicated GRTs needs silicone oil for long time tamponade.Recording different cases,it is important to choose suitable surgical methods.
出处
《中国实用眼科杂志》
CSCD
1999年第7期412-415,共4页
Chinese Journal of Practical Ophthalmology
