巩膜外加压联合不放液手术治疗孔源性视网膜脱离的疗效性及安全性研究

Efficacy and safety of scleral buckling combined with non-drainage surgery for rhegmatogenous retinal detachment

目的探究巩膜外加压联合不放液手术治疗孔源性视网膜脱离的疗效性和安全性。方法抽取2012年10月至2015年12月来本院就医的70例孑L源性视网膜脱离患者作为目标对象，对70例患者进行随机对照分组。对照组35例患者应用巩膜外加压联合放液手术治疗，实验组35例患者应用巩膜外加压联合不放液手术治疗，研究对比两组患者的临床疗效、视力恢复、视网膜复位情况及并发症发生率。结果对照组患者总有效率为91．43％，实验组患者总有效率为94．29％，两组比较差异无统计学意义（P〉0．05）；实验组患者视力提高率显著高于对照组（85．71％比62．86％），两组比较差异有统计学意义（P〈0．05）；对照组患者并发症发生率显著高于实验组（31．43％比8．57％），两组比较差异有统计学意义（P〈0．05）；对照组患者视网膜复位成功率为88．57％，实验组为94．29％，两组比较差异无统计学意义（P〉0．05）。结论巩膜外加压联合不放液手术治疗孔源性视网膜脱离具有较显著的疗效，可有效改善患者视力，降低患者发生并发症的机率，安全性较高。

Objective To investigate the efficacy and safety of extracorporeal scleral buckling combined with non-drainage surgery for rhegmatogenous retinal detachment. Methods 70 patients with rhegmatogenous retinal detachment who were admitted to our hospital from October 2012 to December 2015 were selected as the target objects, and randomly divided into control group and experimental group. 35 cases in the control group were treated with scleral buckling combined with liquid drainage, while 35 cases in the experimental group were treated with scleral buckling combined with non-drainage surgery. The clinical efficacy, visual acuity, retinal reattachment, and complications were compared between the two groups. Results The total effective rate was 91.43% in the control group and 94.29% in the experimental group （P〉0.05）. The improvement rate of visual acuity in the experimental group was 85.71%, significantly higher than that in the control group （62.86%） （P〈0.05）. The incidence of complications was 31.43% in the control group and 8.57% in the experimental group （P〈0.05）. The rate of retinal reattachment was 88.57% in the control group and 94.29% in the experimental group （P〉0.05）. Conclusion Scleral buckling combined with non-drainage surgery has significant effect on rhegmatogenous retinal detachment, which can improve the visual acuity and reduce the incidence of complications.