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目的探讨联合应用硅胶与硅海绵垫压的巩膜扣带术治疗多发性裂孔性视网膜脱离的临床疗效。方法多发性裂孔性视网膜脱离31例(31眼)在我院行联合应用硅胶及硅海绵垫压的巩膜扣带术,术中采用硅海绵垫压较大的和(或)较多的裂孔区,用硅胶垫压较小的和(或)较少的裂孔区。结果术后随访12～30个月,31只眼中,手术一次性视网膜完全复位29眼(93.54%),2例再次行玻璃体切割术后网膜复位;矫正视力在0.1以上者14眼;所有患者未见严重并发症。结论联合硅胶与硅海绵垫压手术是治疗多个裂孔视网膜脱离的有效治疗方法。
Objective To investigate the clinical efficacy of scleral buckling combined with silicone sponge and silicone sponge in the treatment of multiple retinal detachment. Methods 31 cases (31 eyes) with multiple retinal detachment were treated with scleral buckling combined with silicone sponge and silicone sponge in our hospital. A large and / or more porous area of silicon sponge was used during operation , With silicone padding smaller and (or) less hole area. Results All patients were followed up for 12 to 30 months. Among 31 eyes, 29 eyes (93.54%) underwent a one-time surgery and 2 eyes underwent resection of the omentum after pars plana vitrectomy. All patients underwent correction of visual acuity of 0.1 or more No serious complications. Conclusion Combined silicone and silicone sponge cushioning is an effective treatment for multiple retinal detachment.