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玻璃体切除术联合眼内填充治疗复杂性视网膜脱离
引用本文:黄敏丽,区显宁,梁勇.玻璃体切除术联合眼内填充治疗复杂性视网膜脱离[J].广西医学,2003,25(10):1891-1893.
作者姓名:黄敏丽  区显宁  梁勇
作者单位:广西医科大学第一附属医院眼科,530021
基金项目:广西科技厅基金资助项目 (桂科自 96 32 0 16 )
摘    要:目的:讨论玻璃体切除术联合眼内C3F8或硅油填充治疗复杂性视网膜脱离的效果。方法:对61例(61眼)复杂性视网膜脱离患行玻璃体切除联合冷冻、惰性气体C3F8或硅油眼内充填治疗,术后密切观察随访6个月.结果;玻璃体切除联合冷冻、惰性气体C3F8或硅油眼内充填治疗术后视网膜解剖复位49例,其中行最后随访时的视网膜复位率80.3%。视网膜复位眼最后视力均有不同程度的提高。结论:玻璃体切除术联合眼内填充治疗复杂性视网膜脱离有良好的疗效,解除视网膜牵引及合理选择充填物是手术成功的关键。

关 键 词:视网膜脱离  手术治疗  玻璃体切除术  眼内填充治疗  C3F8  硅油

Application of vitreoretinal surgery combined with gas tamponade or silicone oil tamponade in complicated retinal detachment
Huang Minli,Ou Xianning,Liang Yong.Application of vitreoretinal surgery combined with gas tamponade or silicone oil tamponade in complicated retinal detachment[J].Guangxi Medical Journal,2003,25(10):1891-1893.
Authors:Huang Minli  Ou Xianning  Liang Yong
Institution:Nanning 530021
Abstract:Objective:To evaluate the efficacy of vitreoretinal surgery combined with C 3F 8 tamponade or silicone oil tamponade in the treatment of complicated retinal detachment Methods:61 eyes of 61 patients with comlicated retinal detachment underwent vitrectomy combined with the adjunct of C 3F 8 tamponade or silicone oil tamponade.The follow up period was six months Results:The detached retinas in 49 eyes were reattached.The rate of reattachment was 80 3% at the end of follow up period.The improved visual acuity were achieved in 49 eyes Conclusion:Vitreoretinal surgery is an effective therapy for complicated retinal detachment.Removal of prefoveal membrane and the usage of gas or silicone oil are pivotal in the operation of vitrectomy
Keywords:Vitrectomy  Retinal detachment
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