巩膜外手术治疗孔源性视网膜脱离的临床分析

Evaluation of treating rhegmatogenous retinal detachment by outer-scleral operation

目的:探讨两种巩膜外手术方式治疗孔源性视网膜脱离的效果。方法:选取我院孔源性视网膜脱离(RRD)患者220例220眼,其中复杂性视网膜脱离70例70眼,非复杂性视网膜脱离150例150眼。分别实施巩膜环扎+外加压+冷凝+放液(或不放液)术及巩膜外加压+冷凝+放液(或不放液)术。结果:两种手术方式对复杂性RRD和非复杂性RRD的效果均无统计学意义(P>0.05),但非复杂性视网膜脱离患者一次性成功率为89.3%,而复杂性视网膜脱离患者一次性成功率仅为72.9%。结论:巩膜外手术对非复杂性视网膜脱离是一种行之有效的手术。而巩膜环扎在视网膜脱离手术中并非完全必要。

AIM：To evalutate the clinical effects of patients with rhegmatogenous retinal detachment（RRD）treated by outer-scleral operation.METHODS：Totally 220 cases（220 eyes） with RRD at our hospital were analysed randomly.There were 70 cases（70 eyes） suffering from complicated RRD and 150 cases（150 eyes） from non-complicated RRD.They were performed scleral encircling and buckling associated with cryotherapy and drainage（or without drainge）or scleral buckling associated with cryotherapy and drainage（or without drainge）respectively.RESULTS：No significant difference was shown between the two operations for complicated RRD and non-complicated RRD.The rate of anatomic retinal attachment of non-complicated RRD reached 89.3%,while that of complicated RRD stood at 72.9%.CONCLUSION：Outer-scleral operation is a kind of effective surgery to treat non-complicated RRD,it is better to perform vitreoretinal surgery on complicated RRD.Scleral encircling is not very necessary in the RRD surgery.