节段性巩膜外加压手术治疗孔源性视网膜脱离

山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (5): 58-61.

节段性巩膜外加压手术治疗孔源性视网膜脱离

李传宝1，张传坤2，丁建光1，梁勇3，何淑艳1，胡兆磊1

1．济宁医学院附属医院眼科，山东济宁 272029；
2. 济宁医学院，山东济宁 272000； 3. 广西医科大学一附院眼科，南宁 530021

收稿日期:2010-04-01 修回日期:2010-07-21 出版日期:2010-10-16 发布日期:2010-10-16
作者简介:李传宝(1976- )，男，硕士研究生，副主任医师，主要从事玻璃体、视网膜疾病的研究。 Email：chuanbaoli007＠126.com
基金资助:
济宁市科技局科技资助项目（［2008］51号）

Segmental scleral buckling surgery for rhegmatogenous retinal detachment

LI Chuan-bao1， ZHANG Chuan-kun2， DING Jian-guang1， LIANG Yong3， HE Shu-yan1， HU Zhao-lei1

1．Department of Ophthalmology， Affiliated Hospital of Jining Medical College， Jining 272029， Shandong, China;
2. Jining Medical College， Jining 272000， Shandong, China;
3. Department of Ophthalmology， First Affiliated Hospital of Guangxi Medical University， Nanning 530021， China

Received:2010-04-01 Revised:2010-07-21 Online:2010-10-16 Published:2010-10-16

摘要/Abstract

摘要：

目的评价节段性巩膜外加压手术治疗孔源性视网膜脱离的效果。方法对163例孔源性视网膜脱离患者在间接检眼镜下行视网膜裂孔精确定位，行孔周冷凝、放液、巩膜外加压手术。试验组为不联合巩膜环扎组,共89 例(93 眼);对照组为联合巩膜环扎组,共74 例(76 眼)。术后随访6～9 个月。结果 ①试验组视网膜复位89眼，对照组视网膜复位72眼；②视网膜复位者术后6个月矫正视力：试验组提高82 眼，对照组提高64 眼。结论节段性巩膜外加压手术治疗孔源性视网膜脱离简化了手术操作，视力预后较好，是一种有效的手术方式。

关键词: 节段性巩膜外加压手术；孔源性视网膜脱离；视网膜裂孔

Abstract:

Objective To evaluate the results of segmental scleral buckling surgery for rhegmatogenous retinal detachment. Methods 163 cases of rhegmatogenous retinal detachment from Mar. 2005 to Jan. 2009 were enrolled in the study. Each retinal break was located by indirect ophthalmoscopy.Scleral buckling，cryotherapy and drainage of subretinal fluid procedure were applied. Encircling was used in 93 eyes of 89 patients (the test group) but was not used in 76 eyes of 74 patients (the control group).All patients were followed-up for 6-9 months. Results ①89 eyes in the test group and 64 eyes in the control group got complete retinal reattachment;② postoperative corrected visual acuity improved in 82 eyes of the test group and 64 eyes of the control group. Conclusions Segmental scleral buckling without combining encircling surgery to treat rhegmatogenous retinal detachment simplifies the surgical procedure and has a better visual prognosis. It is an effective surgical procedure.

Key words: Segmental scleral buckling surgery； Rhegmatogenous retinal detachment； Retinal break

中图分类号:

R774.12

李传宝1，张传坤2，丁建光1，梁勇3，何淑艳1，胡兆磊1. 节段性巩膜外加压手术治疗孔源性视网膜脱离[J]. 山东大学耳鼻喉眼学报, 2010, 24(5): 58-61.

LI Chuan-bao1， ZHANG Chuan-kun2， DING Jian-guang1， LIANG Yong3， HE Shu-yan1， HU Zhao-lei1. Segmental scleral buckling surgery for rhegmatogenous retinal detachment[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(5): 58-61.

参考文献

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

[1]	林琳1，王玉2，吴昌龙2，盛艳娟2. 激光治疗周边浅层孔源性视网膜脱离的临床观察[J]. 山东大学耳鼻喉眼学报, 2012, 26(3): 70-71.
[2]	曲毅1，王兴荣1，崔彦2. 内界膜剥离术在玻璃体视网膜手术中的应用[J]. 山东大学耳鼻喉眼学报, 2011, 25(4): 75-80.