协和医学杂志

2013, (02)

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视网膜脱离手术治疗效果
Surgical Management for Retinal Detachment

格日勒图;王璞;伟伟;张玉凤

摘要(Abstract):

目的:探讨视网膜脱离手术的方法选择并分析其疗效。方法:视网膜脱离68 例患 者70 只眼,根据视网膜脱离类型和程度行不同的视网膜复位手术,分析手术前后视力变化、 视网膜复位情况及并发症。 结果:一次手术复位者62只眼(其中19只眼硅油填充下视网膜 在位),视网膜复位率88.6%;6只眼再次手术,最终视网膜复位率为97.1%。术前最佳矫正 视力数指以下者46只眼,占65.7%;术后平均随诊(5.3±2.2)个月,术后最佳矫正视力大 于0.05者58只眼,占82.9%。手术前后视力比较差异有统计学意义 (χ2=58.26,P=0.000)。 术后并发症分别表现为疼痛1只眼,视网膜前局限性增生3只眼,并发白内障5只眼,术后 一过性高眼压8只眼。结论:及时行合理的视网膜脱离复位手术是确保视网膜解剖复位、恢 复视功能的有效方法。
Objective:To explore the effectiveness and complications of retinal detachment surgery. Methods:A total of 68 patients (70 eyes) received different retinal reattachment surgeries based on the retinal detachment type and severity. Best corrected visual acuity (BCVA),retinal attachment condition,and complications were observed before and after the surgery. Results:Among these 70 eyes,62 eyes (19 eyes with silicone tamponade) were reattached completely to the first surgery. The reattachment rate was 88.6%. Six eyes received a second and/or third surgery, and the final retinal reattachement rate was 97.1%. The preoperative BVCA was less than finger count in 46 eyes (65.7%). After (5.3±2.2) months of follow-up, the postoperative BVCA was more than 0.05 in 58 eyes (82.9%). Comparison of the visual acuity showed significant difference before and after surgery (χ2=58.26,P=0.000). The postoperative complications included sore eye (n=1), focal preretinal proliferation (n=3), cataract (n=5), and secondary glaucoma (n=8). Conclusion:Timely and reasonable reattachment surgeries can effectively treat retinal detachment and improve vision.

关键词(KeyWords): |视网膜脱离|手术|
|retinal detachment|surgery|

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作者(Author): 格日勒图;王璞;伟伟;张玉凤

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