环扎加压不放液与放液治疗孔源性视网膜脱离疗效观察对比

发布时间：2018-01-19 15:10

本文关键词： 孔源性视网膜脱离环扎加压术不放液视网膜下液　出处：《广西医科大学》2010年硕士论文　论文类型：学位论文

【摘要】： 目的：比较不放液与放液的巩膜扣带术治疗孔源性视网膜脱离(Rhegmatogenous retinal detachment, RRD)的疗效。方法：回顾性分析2005年01月-2009年7月期间,在广西医科大学一附院眼科中心诊为(proliferative vitreoretinopathy, PVR)C1级以下的孔源性视网膜脱离,且行巩膜手术的86眼病例相关临床资料。根据手术方式分为环扎加压放液组与环扎加压不放液组。以视网膜解剖复位率、术后视力和手术并发症为重点观察指标。结果：放液组45眼中视网膜完全复位40眼,手术成功率为88.9%；不放液组41眼中视网膜完全复位38眼,手术成功率为92.7%。放液组和不放液组视网膜复位率比较其差异无显著性意义(P0.05)。放液组手术并发症为31.1%,不放液组手术并发症为12.2%,不放液组手术并发症明显比放液组低,放液组术后视力提高28眼,占62.2%,不放液组术后视力进步35眼,占85.4%,不放液组术后视力恢复较好。结论：不放液的巩膜外加压手术与放液的巩膜外加压术视网膜复位率基本一致,但手术并发症少,术后视力恢复快,是值得推荐的一种手术方法。
[Abstract]:Objective: to compare the treatment of rhegmatogenous retinal detachment with scleral buckling without drainage and drainage in the treatment of rhegmatogenous retinal detachment. RRD). Methods: the period from January 2005 to July 2009 was analyzed retrospectively. At the ophthalmic center of the first affiliated Hospital of Guangxi Medical University, we diagnosed rhegmatogenous retinal detachment below PVR)C1 grade. The clinical data of 86 eyes with scleral operation were divided into two groups according to the operation method: the group of circumscribed pressure release and the group of non-release of circumflex pressure. The rate of retinal anatomical reattachment was used. Postoperative visual acuity and postoperative complications were the important indexes of observation. Results: 40 eyes of 45 eyes were completely reattached and the successful rate of operation was 88. 9%. The retina was completely reattached in 41 eyes of the control group. The successful rate of operation was 92.7%. There was no significant difference in the rate of retinal reattachment between the liquid group and the control group (P 0.05). The complications of the group were 31.1%. The postoperative complications in the control group were significantly lower than those in the control group. The postoperative visual acuity of 28 eyes (62.2%) was improved in the liquid group, and the visual acuity improved in 35 eyes (35 eyes) in the non-drainage group. Accounting for 85.4%, the visual acuity recovered better after operation in the control group. Conclusion: the rate of retinal reattachment without scleral pressure surgery is basically the same as that of scleral pressure surgery, but the operative complications are less and the visual acuity recovers quickly after operation, which is a recommended operative method.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R779.6

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