合并脉络膜脱离的裂孔性视网膜脱离外路显微手术效果观察  

External-route microsurgery for rhegmatogenous retinal detachment associated with choroidal detachment

作　　者：张海江[1] 靳鹍[1] 许大玲[1] 罗彤[1] 霍鸣[1] 

机构地区：[1]三峡大学第一临床医学院宜昌市中心人民医院眼科,湖北宜昌443003

出　　处：《中国实用眼科杂志》2013年第7期899-901,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨合并脉络膜脱离的裂孔性视网膜脱离外路显微手术的适应证及临床效果。方法收集2010年10月至2012年7月住院治疗的合并脉络膜脱离的裂孔性视网膜脱离15例（15只眼），在手术显微镜直视下先预置环扎带和缝线，放视网膜下液或前房穿刺放房水，然后经巩膜外视网膜冷凝、垫压，最后核实裂孔、扎紧环扎带和眼内注入膨胀气体。观察手术疗效，并与同期21例（21只眼）单纯裂孔性视网膜脱离外路显微手术结果进行比较。结果所有病例术后随访3～20个月，平均（6．43±2．50）月；合并脉络膜脱离的裂孔性视网膜脱离组一次手术视网膜解剖复位13例，手术成功率86．67％，单纯裂孔性视网膜脱离组一次手术视网膜解剖复位18例，手术成功率85．71％，两组差异无统计学意义（χ2=0．07，P=0．94），且均无严重并发症发生。结论外路显微手术同样适用于合并脉络膜脱离的裂孔性视网膜脱离患者，且具有操作方便、观察直观、效果良好等优点。Objective To explore the clinical efficacy of external-route microsurgery for rheg- matogenous retinal detachment associated with choroidal detachment. Methods Fifteen cases （15 eyes） with rhegmatogenous retinal detachment associated with choroidal detachment were treated by external-route microsurgery from October, 2010 to July, 2012. Under surgical microscope, the encircl- ing and its suture were preplaced, then drainage of subretinal fluid or aqueous fluid, retinal cryothera- py, buckling, examination of locating the roles, encircling and intraocular injection of expanding gas- es were performed. The surgical effects were compared with those of other simultaneous 21 cases （21 eyes） with simple rhegmatogenous retinal detachment which underwent surgery by the same way. Results The followed-up ranged from 3 to 20 （6.43 ±2.50） months. Retinal reattachment was achieved primarily in 13 case and 18 cases respectively. The success rates were 86.67% and 85.71%, there weren＇t definite difference between the two groups （χ2=0.07, P =0.94）. Furthermore, both groups hadn＇t serious complications. Conclusions The external-route microsurgery is also suit- able for rhegmatogenous retinal detachment associated with choroidal detachment, and it is simple, convenient, easy to learn and effective.

关 键 词：脉络膜脱离 裂孔性视网膜脱离 显微手术 巩膜加压术 

分 类 号：R774.12[医药卫生—眼科]