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玻璃体视网膜手术治疗复杂性视网膜脱离的疗效
引用本文:胡维沭,于红鸾,等.玻璃体视网膜手术治疗复杂性视网膜脱离的疗效[J].山东医大基础医学院学报,2001,15(5):271-273.
作者姓名:胡维沭  于红鸾
作者单位:济宁医学院附属医院眼科 济宁272100 (胡维沭,于红鸾,江坤尧),济宁医学院附属医院眼科 济宁272100(邱宁)
摘    要:目的:评价应用玻璃体视网膜联合手术(vitreo-retinal surgery,V-R术)治疗复杂性视网膜脱离的疗效。方法:应用V-R术治疗视网膜脱离(网脱)54眼,其中孔源性网脱伴PVR(C3级以上)18眼,外伤玻璃体积血并牵拉网脱14眼,复发性网脱9眼,合并晶体混浊6眼,血管性并牵拉网脱3眼,后极裂孔3眼,先天性脉络膜缺损并网脱1眼。结果:出院时视网膜解剖复位(完全复位及残留少量视网膜下液)44眼,术后视力提高39眼,不变9眼,下降6眼。结论:通过玻璃体手术,切除混浊屈光间质后,可根据情况联合进行视网膜复位术,为视网膜复位创造条件,促进术后视力提高。

关 键 词:视网膜脱离  玻璃体切除术  治疗

The effect of vitro-retinal surgery on complicated retinal detachmet
Hu Weishu,Yu Hongluan,Jiang Kunyao,et al.The effect of vitro-retinal surgery on complicated retinal detachmet[J].Journal of Preclinical Medicine College of Shandong Medical University,2001,15(5):271-273.
Authors:Hu Weishu  Yu Hongluan  Jiang Kunyao  
Abstract:Objective:To evaluate the efficacy of vitro-retinal surgery for complicated retinal detachmet.Methed:54 eyes with complicated retinal detachment were treated with vitro-retinal surgery.Among them,18 eyes appeared with retinal hole and PVR (above C 3 degree),14 eyes with traumatic vitreous blood and tractional retinal detachment,9 eyes with recurrent retinal detachment,6 eyes with cataract,3 eyes with posterior hole,1 eye with congenital choriodal coloboma.Result:At the discharge time,44 eyes were anatomically repositioned (completely repositioned or left little subretinal fluid).After operation,the vision of 39 eyes was upgraded,of 9 eyes unchanged,of 6 eyes dropped.Conclusion:Vitro-retinal surgery can make retinal reposition and promote the vistion elevated.
Keywords:Retinal detachment  Vitrectomy  Treatment outcome
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