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目的 探讨环扎加压术对孔源性视网膜脱离的疗效。方法 96例孔源性视网膜脱离其中68例采用环扎加压不放液手术,28例采用环扎加压放液手术。结果 环扎加压不放液1次手术成功率91.18%,环扎加压放液1次手术成功率82.15%,未愈11例中5例再次环扎加压术治愈,总治愈率共达93.75%,6例改作玻璃体切割注气术治愈。结论 环扎加压术是治疗一般视网膜脱离最广泛的手术方法,其治愈率达90%以上,并对放液与不放液的适应症及优缺点进行讨论。
Objective To investigate the curative effect of cerclage compression on rhegmatogenous retinal detachment. Methods Sixty-six cases of rhegmatogenous retinal detachment were treated by cerclage compression and non-perfusion operation, and 28 cases were treated by cerclage compression and pressure release. Results Surgical operation was successful in 91.18% of cases in 1 case of cerclage compression and in 1 case of cerclage compression plus 82.15% of cases. In 5 cases of 11 cases unhealed, cerclage was again cerclage and the total cure rate was reached 93.75%, 6 cases were replaced by vitrectomy gas cure. Conclusions Cerclage compression surgery is the most widely used method for the treatment of general retinal detachment. The cure rate is more than 90%, and the indications and its advantages and disadvantages of liquid excretion and non-liquid excretion are discussed.