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目的 评价玻璃体手术治疗非后极部裂孔复杂性视钢膜脱离采用原裂孔作气液交换术后的早期效果。方法 回顾分析了 5 1例 (5 1眼 )非后极部视网膜裂孔的复杂性视网膜脱离病例的临床资料 ,手术方法均采用环扎加压术加玻璃体切除术 ,利用原裂孔进行气液交换 (fluid- Air exchange,FA)后眼内填充 C3F8气体 ,其中 2 2眼行完全 FA术 ,2 9眼行不全 FA术。结果 全 FA组与不全 FA组术后第 1天眼内气体充满、始终未充满病例及第1、2天高眼压发病率比较有明显差异 (P <0 .0 5 ) ,第 2、3、7天眼内气量及高眼压发病率、1周内视网膜复位率无明显差异 (P >0 .0 5 )。结论 利用原裂孔进行气液交换治疗非后极部裂孔复杂性视网膜脱离可取得较好的早期效果。
Objective To evaluate the early effect of vitreous surgery on the complexity of non-posterior pole hiatus as the membrane detachment using the pre-hole for gas-liquid exchange. Methods The clinical data of 51 cases (51 eyes) of complex retinal detachment with non-posterior pole retinal tears were retrospectively analyzed. Surgical procedures were performed with cerclage and vitrectomy, and the use of precursor holes for gas-liquid exchange fluid-air exchange, FA) was filled with C3F8 gas, of which 22 eyes underwent complete FA and 29 eyes underwent FA. Results In the whole FA group and the incomplete FA group, the intraocular gas was filled on the first day after operation, the incidence of intraocular hypertension was always not full and the incidence of intraocular hypertension on the first and second days was significantly different (P <0.05) There was no significant difference in retinal reattachment rate within 7 days (P> 0.05) between 7 days and the incidence of intraocular pressure and ocular hypertension. Conclusion The use of the original hole for gas-liquid exchange of non-posterior part of the hole complicated retinal detachment can get better early results.