协和医学杂志 , Medical Journal of Peking Union Medical College Hospital, 编辑部邮箱 , 2011年04期 【作者】 闵寒毅; 毛进; 高斐; 谭柯; 贺峰; 罗岩; 于伟泓; 陈有信; 董方田;
【Author】 MIN Han-yi,MAO Jin,GAO Fei,TAN Ke,HE Feng,LUO Yan, YU Wei-hong,CHEN You-xin,DONG Fang-tian Department of Ophthalmology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China
【机构】 中国医学科学院北京协和医学院北京协和医院眼科;
【摘要】 目的探讨最小量巩膜外加压治疗孔源性视网膜脱离的疗效和并发症。方法回顾性分析北京协和医院单纯孔源性视网膜脱离采用无放液、最小量巩膜外硅海绵加压术治疗28例患者30只眼,术前术后视力变化、视网膜复位情况及并发症。结果采用无放液、最小量巩膜外加压治疗的28例患者30只眼中巩膜外硅海绵加压缝合1针13只眼,缝合2针14只眼(其中1只眼2个裂孔分开,分别进行巩膜外加压1针),缝合3针及以上3只眼。术前最佳矫正视力(best corrected visual acuity,BCVA)<0.1为14只眼,0.1~0.3为8只眼,>0.3为8只眼。术后平均随诊(9.4±2.5)个月,术后最佳矫正视力<0.1为5只眼,0.1~0.3为9只眼,>0.3为16只眼,治疗前后视力比较差异有统计学意义(P<0.05)。术后视网膜24h内复位20只眼,72h内复位8只眼,再次手术3只眼。一次性手术成功率90%,二次成功率100%。发生巩膜外加压海绵外露1例。结论无放液、最小量巩膜外加压术是治疗单纯孔源性视网膜脱离的有效方法。 更多还原
【Abstract】 Objective To explore the efficiency and complications of minimal scleral buckling surgery without sub-retinal drainage for rhegmatogenous retinal detachment.Methods The clinical data of 28 patients(30 eyes) who received minimal scleral buckling surgery without sub-retinal drainage for their rhegmatogenous retinal detachment were retrospectively analyzed.Best corrected visual acuity(BCVA),retinal attachment condition,and complications were observed before and after surgery.Results Among these 30 ... 更多还原 【关键词】 最小量巩膜外加压术; 孔源性视网膜脱离; 【Key words】 minimal scleral buckling surgery; rhegmatogenous retinal detachment; 【分类号】R774.1
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