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小范围巩膜破裂伤缝合术后视网膜脱离的原因分析
引用本文:李玉涛,白领娣,齐翔云,代玉娟. 小范围巩膜破裂伤缝合术后视网膜脱离的原因分析[J]. 眼外伤职业眼病杂志, 2000, 22(4): 416-417
作者姓名:李玉涛  白领娣  齐翔云  代玉娟
作者单位:063000,河北省唐山市眼科医院
摘    要:目的 探讨小范围巩膜破裂伤缝合术后视网膜脱离的原因。方法 32例小范围巩膜皮裂伤术后视网膜脱离行二次玻璃体切除术中发现其原因。结果 引起视网膜脱离的原因有三:一是外伤性增生性玻璃体视网膜病变引起的牵引笥视网膜脱离;二是第一次手术失误;三是资源性处理不当。结论 二次玻璃体切除是解决小范围巩膜破裂伤术后视网膜脱离的主要手段。第一次术中巩膜冷凝/电凝对预防视网膜脱离无益。

关 键 词:巩膜破裂伤 视网膜脱离 玻璃体切除术

The analysis in the cause for the retinal detachment after suturing of the limited scleral rupture
LI Yutao,BAI Lingdi,QI Xiangyun,et al.. The analysis in the cause for the retinal detachment after suturing of the limited scleral rupture[J]. Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries, 2000, 22(4): 416-417
Authors:LI Yutao  BAI Lingdi  QI Xiangyun  et al.
Affiliation:LI Yutao,BAI Lingdi,QI Xiangyun,et al.Tangshan Ophthalmic Institute,Tangshan 063000
Abstract:To study the causes of the retinal detachment after the suturing of limited scleral repture.Method To seek factors of the retinal detachment by sewing up the limited wound of globe in 32 cases.Results Causing the retinal detachment by 3 factors:the first is PVR,the second is surgical faults at initial aid,the third is the iatrogenic error.Conclusion Vitrectomy once again is the main means in perfecting the limited globe repture.only once operation is of effect to prevent the retinal detachment.
Keywords:Retinal detachment Vitrectomy Rupture  sclera
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