后巩膜加固术的历史与现状

后巩膜加固术作为控制高度近视进展的手术，在临床的开展已有60多年历史，但尚未在临床得到广泛认同。美国国家医学图书馆（Pubmed）、中文科技期刊全文数据库（CNKI）和维普知识资源系统（VIP）上不同时期后巩膜加固术治疗高度近视相关文献发表情况表明，后巩膜加固术术式多样，加固材料种类驳杂，临床疗效存在争议。后巩膜加固术相关文献发表的数量，国外文献以俄文和东欧语居多，自20世纪70年代开始逐渐增多，到20世纪80年代中期后达到高峰，此后逐渐减少；国内自20世纪80年代中期开始逐渐上升，至上世纪末达到高峰，之后逐渐减少，进入新世纪以来，再次出现增长趋势。后巩膜加固术式和材料存在缺陷，临床没有标准，难以达到手术机制的要求，是影响手术疗效，不被临床广泛认同和开展的主要原因。后巩膜加固术相关文献发表数量的变化，反映了该手术在临床开展起伏的历史状况，后巩膜加固术曾在俄罗斯、东欧及中国等地区有较多开展，目前国外临床已较少开展，而在中国新一轮的临床探索正悄然开始。

The history and future perspective of posterior scleral reinforcement

Posterior sclera reinforcement (PSR) has been developed for more than 60 years.Unfortunately,its clinical efficacy hasn't gained wide recognition even recently.The literatures about treating high myopia with PSR were searched in Pubmed,CNKI and VIP from 1965/01/01 to 2015/ 11/30 with the key words "scleroplasty","scleral reinforcement" and "high myopia",among which the language categories,the number of the literatures in different time periods,the operation style,reinforcement materials and efficacy of PSR were analyzed.PSR was mainly carried out in Russia,Eastem Europe and China.The numbers of articles published on PSR gradually increased from the 1970 s,to reach the top in the mid of 1980 s,and gradually decreased after that time in Non-Chinese literatures.The first Chinese paper reported about PSR was published in the mid of 1980 s,the numbers of publication increased gradually.There is steady incrase in publication of PSR over last 15 years.The efficacy of PSR is still under controversial since too many operation styles and materials were chosen and lack of universal standards,most of which can't meet the mechanical requirements of reinforcement.The number of Chinese literatures began to rebound in the new century.With the development of the new surgical techniques by our group and innovation of new reinforcement materials,PSR could be expected to gain the popularity in the new century for the treatment of retinopathy in highly myopic patients again.