努力提高黄斑裂孔的治疗质量  

Striving to improve the treatment of macular hole

作　　者：颜华[1] Yan Hua(Department of Ophthalmology,Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院眼科,天津300052

出　　处：《中华眼科杂志》2025年第3期161-167,共7页Chinese Journal of Ophthalmology

基　　金：天津市科技计划项目(22PTZWHZ00030,23JCZXJC00140)。

摘　　要：临床治疗黄斑裂孔的方法较多,已引起广泛关注和讨论。由于不同类型黄斑裂孔的病因和发病机制不同,治疗方法的作用机制不同,治疗方法的选择和治疗预后也不尽相同。临床医师在治疗黄斑裂孔时,除关注黄斑裂孔的闭合率外,更应关注治疗的整体质量。本文针对黄斑裂孔,从全面精准诊断、充分了解病程、选择适宜的治疗方法、重视治疗的安全性、加强治疗后随访观察等方面进行阐述,为临床努力提高黄斑裂孔的整体治疗质量提供指导意见和途径。There are many clinical methods for the treatment of macular hole(MH),which have attracted extensive attention and discussion.Given the various etiologies and pathogeneses of different types of MHs,the mechanisms of the treatments are different,and the choices of treatment methods and the prognoses of MHs are also different.Clinicians should pay more attention to optimize the integral quality of treatments in addition to the closure rate of MHs by making a comprehensive and accurate diagnosis,a thorough inquiry of the disease course,and a precise selection of appropriate surgical strategies,as well as enhancing the treatment safety and postoperative follow-ups.The elaboration in this article aims to provide guidance and approaches for improvement of the MH treatment.

关 键 词：视网膜穿孔 玻璃体切除术 选择性外科手术 视敏度 

分 类 号：R73[医药卫生—肿瘤]