无放液最小量巩膜外加压术治疗孔源性视网膜脱离 |
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引用本文: | 闵寒毅,毛进,高斐,谭柯,贺峰,罗岩,于伟泓,陈有信,董方田.无放液最小量巩膜外加压术治疗孔源性视网膜脱离[J].协和医学杂志,2011,2(4):357-361. |
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作者姓名: | 闵寒毅 毛进 高斐 谭柯 贺峰 罗岩 于伟泓 陈有信 董方田 |
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作者单位: | 中国医学科学院 北京协和医学院 北京协和医院眼科, 北京 100730 |
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摘 要: | 目的 探讨最小量巩膜外加压治疗孔源性视网膜脱离的疗效和并发症。 方法 回顾性分析北京协和医院单纯孔源性视网膜脱离采用无放液、最小量巩膜外硅海绵加压术治疗28例患者30只眼, 术前术后视力变化、视网膜复位情况及并发症。 结果 采用无放液、最小量巩膜外加压治疗的28例患者30只眼中巩膜外硅海绵加压缝合1针13只眼, 缝合2针14只眼(其中1只眼2个裂孔分开, 分别进行巩膜外加压1针), 缝合3针及以上3只眼。术前最佳矫正视力(best corrected visual acuity, BCVA) < 0.1为14只眼, 0.1~0.3为8只眼, > 0.3为8只眼。术后平均随诊(9.4±2.5)个月, 术后最佳矫正视力 < 0.1为5只眼, 0.1~0.3为9只眼, > 0.3为16只眼, 治疗前后视力比较差异有统计学意义(P < 0.05)。术后视网膜24 h内复位20只眼, 72 h内复位8只眼, 再次手术3只眼。一次性手术成功率90%, 二次成功率100%。发生巩膜外加压海绵外露1例。 结论 无放液、最小量巩膜外加压术是治疗单纯孔源性视网膜脱离的有效方法。
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关 键 词: | 最小量巩膜外加压术 孔源性视网膜脱离 |
收稿时间: | 2010-07-27 |
Minimal Scleral Buckling without Sub-retinal Drainage for Rhegmatogenous Retinal Detachment:an Analysis of 30 Cases |
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Authors: | MIN Han-yi MAO Jin GAO Fei TAN Ke HE Feng LUO Yan YU Wei-hong CHEN You-xin DONG Fang-tian |
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Institution: | MIN Han-yi,MAO Jin,GAO Fei,TAN Ke,HE Feng,LUO Yan,YU Wei-hong,CHEN You-xin,DONG Fang-tian Department of Ophthalmology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China |
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Abstract: | Objective To explore the efficiency and complications of minimal scleral buckling surgery without sub-retinal drainage for rhegmatogenous retinal detachment.Methods The clinical data of 28 patients(30 eyes) who received minimal scleral buckling surgery without sub-retinal drainage for their rhegmatogenous retinal detachment were retrospectively analyzed.Best corrected visual acuity(BCVA),retinal attachment condition,and complications were observed before and after surgery.Results Among these 30 eyes,13 eyes... |
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Keywords: | minimal scleral buckling surgery rhegmatogenous retinal detachment |
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