不放液在环扎加压手术中的应用

Evaluating indications of encircling buckle with nondrainage procedure

目的 探讨不放液在环扎加压手术中的适应证及其优缺点。方法 分析 110 9例 (1138眼 )环扎加压不放液手术患者的临床资料 ,占同期手术 45 .6 3%。结果 10 17眼视网膜下液在一周以内完全吸收 ,36眼吸收时间在 8～ 70天 (平均 16 .5 6天 ) ,不吸收的 85眼中 78眼进行再手术 ;一次手术复位率 92 .5 3% ,最终手术成功率98.95 %。结论 环扎加压不放液适用于更多的视网膜脱离眼 ,提高成功率的关键是确切地封闭裂孔和选择合适病例 。

Objective To discuss the surgical indications of encircling buckle with nondrainage procedures in the patients with retinal detachment of various states.Methods 1138 eyes (1109 patients) performed encircling buckle without drainage of subretinal fluid were reviewed.These repaired eyes occupied 45.63% of our total operated eyes at same period.Results Subretinal fluid of the most patients was completely absorbed within a week,but 36 eyes appeared to be a delayed absorption between 8～70 days and 85 eyes no absorption,of whom 78 eyes underwent reoperations.The cure rate with one operation was 92.53%,and final successful rate was 98.95%.Conclusion The study suggests that encircling buckle with implant and nondarinage can be used in majority of the patients with retinal detachment.The key point in increasing initial cure rate is ensuring sealing breaks and correct selection of patients who should be performend drainage of subretinal fluid.However,such a surgical strategy is not suitable to complicated retinal detachment.