玻璃体切割联合巩膜扣带术治疗上方和下方孔源性视网膜脱离的效果比较  

Comparison of the effects of pars plana vitrectomy combined with scleral buckling in the treatment of superior and inferior rhegmatogenous retinal detachment

作　　者：杨鸽[1] 刘晨路 杨益 王兵立 鹿晓燕[1] 董淑倩[1] 胡芷柔 李秋明[1] YANG Ge;LIU Chenlu;YANG Yi;WANG Bingli;LU Xiaoyan;DONG Shuqian;HU Zhirou;LI Qiuming(Department of Ophthalmology,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)

机构地区：[1]郑州大学第一附属医院眼科,郑州450052

出　　处：《郑州大学学报(医学版)》2025年第2期278-281,共4页Journal of Zhengzhou University(Medical Sciences)

摘　　要：目的:探讨上方和下方孔源性视网膜脱离(RRD)行玻璃体切割(PPV)联合巩膜扣带(SB)术的疗效。方法:收集2018年2月至2023年8月郑州大学第一附属医院234例接受PPV联合SB术的RRD患者(234眼)的临床资料。234眼中裂孔仅位于上方的163眼(上方裂孔组),裂孔位于下方的71眼(下方裂孔组)。比较上方裂孔组和下方裂孔组患眼视网膜复位率、最佳矫正视力(BCVA)及术后并发症发生情况。结果:上、下方裂孔组视网膜复位率分别为96.32%、95.77%,差异无统计学意义(P>0.05)。两组患眼BCVA随时间延长均明显改善(P<0.05),组间各时间点BCVA差异无统计学意义(P>0.05)。两组术后各并发症发生率差异无统计学意义(P>0.05)。结论:PPV联合SB术治疗下方和上方RRD视网膜复位率高,并发症发生率低。Aim:To evaluate the therapeutic efficacy of pars plana vitrectomy(PPV)combined with scleral buckling(SB)in the treatment of inferior and superior rhegmatogenous retinal detachment(RRD).Methods:Clinical data from 234 patients(234 eyes)with RRD who underwent PPV combined with SB at the First Affiliated Hospital of Zhengzhou University from February 2018 to August 2023 were collected.Among them,163 eyes had breaks exclusively in the superior retina(superior break group),and 71 eyes had breaks in the inferior retina(inferior break group).The retinal reattachment rate,best-corrected visual acuity(BCVA),and postoperative complications were compared between the 2 groups.Results:The retinal reattachment rate in the superior and inferior break groups was 96.32%and 95.77%,and there was no significant difference(P>0.05).The BCVA of both groups improved significantly over time(P<0.05),and there were no significant differences in BCVA at each time point between the 2 groups(P>0.05).Additionally,there were no significant differences in the incidence of complications between the 2 groups(P>0.05).Conclusion:PPV combined with SB achieves high retinal reattachment rates and low complication rates for both inferior and superior RRD.

关 键 词：孔源性视网膜脱离 玻璃体切割术 巩膜扣带术 

分 类 号：R774.1[医药卫生—眼科]