改良环扎垫压术治疗视网膜脱离千例报告

A Clinical report on modified encircling procedure for retinal de-tachment treatment

目的 探讨以环扎垫压改良术式治疗视网膜脱离的意义。方法 对974例1024眼应用改良式环扎垫压术治疗视网膜脱离,手术时间、视网膜复位率、视力改善程度及并发症发生率等,进行分析研究。结果 1024眼均采用改良术式,其中86.6％眼并放出视网膜下液,25％眼并眼内注气术,手术时间0.4～10h,平均30min,一次手术成功率98.4,出院后半年成功率97.2％。术后视力≥0.1者785例,占76.7％,与术前的34.2％相比,差异具有非常显著性(X^2=166.7,P<O.01)。结论改良式环扎垫压术显著缩短了手术时间,增加了手术成功率,术后视力提高满意,反应轻,恢复快,并发症少,值得推广应用。

Objective To evaluate the outcome of rhegmatogenous retinal detachment treated by modified encircling procedures. Methods Retrospective study of 974 patients(1024 eyes) undergoing retinal detachment surgery (modified encircling procedures) to evaluate surgical outcomes of rhegmatogenous retinal detachment in visual acuity, retinal reattachment rate, incidence of complication and operation duration. Results All 1024 eyes received modified encircling procedures,among these,86.6% releasing the subretinal fluids,25% plus intraocular gas injection. Operation duration:0.4-1.0 h,mean 30 nun.98.4% attained retinal reattachment after the first surgery. Visual acuity of 76.7% of the series was 5/ 50 or better after surgery, compared with that before the operation, P < 0.01. Conclusion Modified encircling procedures was successful for treating rhegmatogenous retinal detachment.It may significantly decrease operation duration, increase retinal reattachment rate and improve visual acuity after operation.