少儿复杂性视网膜脱离术后硅油存留并发症分析

Reason Analysis over Retraction of Silicon Oil after Operation of Complicated Retinal Detachment in Children Patients

目的：探讨少儿复杂性视网膜脱离术后硅油存留并发症情况。 方法：回顾总结１５ 岁以下少儿 ３７ 例（３７ 只眼）复杂性视网膜脱离术后硅油存留并发症的情况，尤其观察了手术中切除晶体与否对并发症的影响。 结果：少儿组硅油并发症及发生规律与既往成人的观察类似；但是在有无晶体这一不同眼内情况下，硅油并发症却有着较明显的不同倾向。 结论：少儿硅油存留并发症与成人类似，不同的眼内情况下硅油存留并发症可能有不同的倾向；为有效减少硅油存留并发症，在视网膜复位的前提下，少儿硅油注入眼应适时行硅油取出。

To analysis the reason and complications of extraction of silicon oil after operation of complicated retinal detachment in children and adult patients. Methods A group of 37 children patients (37 eyes) under the age of 15 were analyzed. The study noted down the epidemic background, history and general state of the involved eye before and after the extraction. The statistic method of chi square was employed for analyzing the differences between the patients without crystal and those with cristal remained in complications. Results The main reason for extraction of silicon oil were similar to adult groups studied before. The rate of complications occurrence increased with the time passing by. The complication occurrence in the patients without crystal seems more often than those with the crystal remained. Conclusion the responses to silicon oil in the operation for complicated retinal detachment is quite similar in either children or adult patient; the extraction of silicon oil should be done before 3～6 months in order to reduce the complications. Crystal extraction in complicated retinal detachment surgery might closely related to complication recurrence.