最小劑量手術方法治療裂孔源性視網膜脫離的療效

謝洪濤，劉釗臣

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·臨床報告·

最小劑量手術方法治療裂孔源性視網膜脫離的療效

謝洪濤，劉釗臣

?METHODS: A total of 102 eyes 89 cases of rhegmatogenous retinal detachment were selected from Jan.2014 to Feb.2016 in our hospital. All patients underwent simple scleral pad pressure combined with condensation surgery without liquid. The therapeutic effect was observed.

?RESULTS: The 84 eyes (82.4%) were the first time reset after surgery. And 10 eyes (9.8%) were the second time reset after surgery. The visual acuity of 35 eyes (34.3%) after surgery were <0.1, 38 eyes (37.3%) were 0.1-0.3, 29 eyes (28.4%) were > 0.3, better than the preoperative corrected visual acuity. The difference was statistically significant (P<0.05). The main postoperative complications were corneal edema (20.6%) and temporary intraocular hypertension (9.8%), given the corresponding treatment. They had been effectively alleviated.

?CONCLUSION: The effect of minimum dose surgery for the treatment of rhegmatogenous retinal detachment is good, the surgery is simple.

目的：探討最小劑量手術方法治療裂孔源性視網膜脫離的效果。

方法：選取2014-01/2016-02在我院治療的裂孔源性視網膜脫離患者89例102眼，均采用單純鞏膜外墊壓聯合冷凝手術，術中不放液，觀察治療效果。

結果：術后視網膜首次復位84眼(82.4%)，二次復位10眼(9.8%)；35眼(34.3%)術后矯正視力<0.1，38眼(37.3%)0.1～0.3，29眼(28.4%)>0.3，明顯優于術前矯正視力，差異比較有統計學意義(P<0.05)；術后并發癥主要以角膜水腫(20.6%)和一過性高眼壓(9.8%)為主，給予相應處理，均得到有效緩解。

結論：最小劑量裂孔源性視網膜脫離手術治療效果好，手術操作簡單。

裂孔源性視網膜脫離；最小劑量手術；治療效果

引用：謝洪濤，劉釗臣.最小劑量手術方法治療裂孔源性視網膜脫離的療效.國際眼科雜志2016;16(12):2326-2328

0引言

裂孔源性視網膜脫離是一種較為嚴重的致盲性眼病，主要是指視網膜萎縮變性或玻璃體牽引形成視網膜神經上皮全層裂孔，液化的玻璃體經裂孔進入視網膜下并形成視網膜脫離，若不能及時復位，則會導致患者視力無法恢復[1-2]。裂孔源性視網膜脫離的發病原因多與高度近視、老年人視網膜玻璃體變性及眼外傷等有關，且隨著我國老齡化的不斷加重，患病人數有增高的趨勢[3-4]。目前臨床上治療裂孔源性視網膜脫離患者的主要方式為鞏膜扣帶術，雖然能取得一定的效果，但手術創傷較大，術后并發癥較多[5]。有研究表明，采用最小劑量手術方法治療裂孔源性視網膜脫離的效果較好，術后并發癥也較少，患者的恢復效果更好[6-7]。為了進一步探討小劑量手術方法治療裂孔源性視網膜脫離的效果，本研究對我院治療的裂孔源性視網膜脫離患者采用單純鞏膜外墊壓聯合冷凝手術進行治療，術中不放液，并對資料效果進行了分析，為臨床上提供了理論依據。……