孔源性视网膜脱离235例临床分析

Clinical analysis of 235 cases with rhegmatogenous retinal detachment

目的:探讨孔源性视网膜脱离(rhegmatogenous retinal de-tachment,RRD)的疾病特征、手术疗效及治愈关键。方法:对近两年间我院收治的235例(240眼)RRD病例做回顾性分析。结果:30岁以上患者168例占71.5%、其中合并高血压31例占18.5%,高度近视89眼占37.1%。临床脱离时间平均49d,裂孔中圆孔占43.0%,分布于颞上象限占46.6%。一次手术成功率91.3%,总治愈率达93.8%。结论:本地区RRD主要特征:好发于中老年患者、与高度近视密切相关、临床脱离时间长、合并高血压比例高。裂孔以圆孔为主,颞上象限分布居多。目前手术治疗仍是治疗RRD最有效的方法。对于复杂及复发的病例应首选玻璃体切割治疗。

AIM： To investigate the characteristics, therapeutic effects of operations, key to treatment and prognosis of rhegmatogenous retinal detachment （RRD）. METHODS： A total of 235 patients （240 eyes） with RRD admitted into our hospital were retrospectively analyzed. RESULTS： There were 168 cases above 30 years old （71 5%）, of which 31 patients were combined with hypertension （18. 5% ）. Among 240 eyes, 89 eyes （37. 1% ） were high myopia. The average detachment time was 49 days. The holes with round shape made up 43 0%, and 46 6% were distributed in supratemporal quadrant. The first cure rate was about 91.3%, and total cure rate was 93.8%. CONCLUSION： In this area the major characteristics of RRD are as follows： it is liable to occur in middle-aged and old patients; it is closely related to high myopia; clinical detachment time is long; a high proportion of patients were combined with hypertension; the holes are mainly in round shape and the majority were distributed in supratemporal quadrant. At present surgery is the most effective technique for RRD. For complex and recurrent cases, vitrectomy shoud be the first choice for treatment.