黄斑孔视网膜脱离不同术式疗效分析  

The analysis on curative effect of the different operation methods on macular hole retinal detachment.

作　　者：董桂玲[1] 

机构地区：[1]山东省菏泽医学专科学校五官科教研室,274030

出　　处：《眼外伤职业眼病杂志》2001年第2期144-145,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　寻求治疗黄斑孔视网膜脱离的有效方法。方法　对 48眼黄斑裂孔视网膜脱离 ,分别采用冷凝加兜袋、外填压、丁字形外填压、环扎术。结果　兜袋加冷凝术 12眼 ,全获成功 :冷凝加外填压术 10眼 ,5眼成功 ;冷凝加丁字形外填压加环扎术 8眼 ,6眼成功 ;冷凝加兜袋加环孔术 18眼 ,16眼成功。兜袋术与外填压术效果比较 ,有显著差异 (P <0 0 5 ) ;巩膜外冷凝未引起严重并发症。结论　对单纯黄斑裂孔视网膜脱离 ,宜采用冷凝加兜袋术 ,合并周边裂孔视网膜脱离 ,宜采用冷凝加兜袋加环扎术。兜袋术符合眼球病理需要 ,操作方便 ,效果好 ,是基层医院治疗黄斑裂孔视网膜脱离的好方法。效果与发病时间有关 。Objective To find the effective methods on treatment of macular hole retinal detachment. Methods The cryocoagulation strengthening, buckling,“T” shaped buckling, and encircling were separatly used on 48 eyes of macular hole retinal detachment. Results The cryocoagulation+strengthening had success in all 12 eyes.Buckling +cryocoagulation had success in 5 eyes of 10 eyes.“T” shaped buckling and encircling had success in 6 eyes of 8 eyes. encircling and cryocoagulation had success in 16 eyes of 18 eyes. There was obvious difference in effect between strengthening and buckling operations ( P <0 05). The outer scleral cryocoagulation did not cause serious complication. Conclusions cryocoagulation and strengthening was adopted on simple macular hole retinal detachment; strengthening and encircling and cryocoagulation was adopted on peripheral tear and simple macular hole. The strengthening operation was the good method of treatment on macular hole retinal detachment in basal hospitals. The effect of operation is associated with the duration of the disease so the patients were treated as early as possible.

关 键 词：黄斑裂孔 视网膜脱离 外填压 环扎术 冷凝术 

分 类 号：R779.6[医药卫生—眼科]