伴视网膜下增生的陈旧性视网膜脱离行巩膜环扎外加压术的疗效观察  

Effects of scleral buckling operation treating long-standing retinal detachment with subretinal proliferation

作　　者：姚毅[1] 王志军[1] 姜荔[1] 魏世辉[1] 张卯年[1] 

机构地区：[1]解放军总医院眼科,北京100853

出　　处：《中华眼底病杂志》2005年第3期150-152,共3页Chinese Journal of Ocular Fundus Diseases

摘　　要：目的　观察伴有视网膜下增生的慢性陈旧性视网膜脱离采用巩膜环扎外加压术的疗效。　方法　对采用巩膜环扎外加压术治疗的3 6例(4 0只眼)伴有视网膜下增生的慢性陈旧性视网膜脱离患者的临床资料进行回顾性分析,了解其临床特点、手术方式及疗效。　结果　陈旧性视网膜脱离患者的诊断主要依据是眼底检查;患眼特征为视网膜浅脱离,视网膜菲薄透明,裂孔小,视网膜下增生条索形成;40只眼采用巩膜环扎外加压术治疗,1次手术成功3 6只眼,占90. 0 % ;77 .5 %的眼视力高于0 .0 5。　结论　巩膜环扎外加压术治疗伴有视网膜下增生的陈旧性视网膜脱离仍可获得较高的手术治愈率。Objective To investigate the therapeutic effects of scleral buckling operations on treating long-standing retinal detachment with subretinal proliferation. Methods The clinical data of 36 patients (40 eyes) with long-standing retinal detachment with subretinal proliferation who had undergone scleral buckling operation were retrospectively analyzed, and the clinical features, therapeutic methods and curative effects were summarized. Results The diagnosis of long-standing retinal detachment mainly based on the examination of ocular fundus. The features of the affected eyes were: flat retinal detachment, thin and transparent retina, and formation of subretinal cords. In 40 eyes undergone scleral encircling and buclking, 36 (90%) had one-off successful operation, and the visual acuities over 0.05 were found in 77.5% of the whole eyes. Conclusions Scleral encircling and buckling procedures can be used to treat long-standing retinal detachment with subretinal proliferation with fairish cured rate.

关 键 词：巩膜环扎外加压术 陈旧性视网膜脱离 视网膜下 增生 疗效观察 视网膜浅脱离 回顾性分析 临床资料 临床特点 手术方式 眼底检查 手术成功 0.05 治疗 眼视力 治愈率 慢性 患者 

分 类 号：R779.6[医药卫生—眼科]