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目的评价激光治疗近视性黄斑裂孔的疗效。方法回顾分析上海瑞金医院眼科１９８５～１９９５年间采用氩激光和倍频Ｎｄ∶ＹＡＧ激光治疗的近视性黄斑裂孔５６例中，随访平均１４个月、资料完整的５２例的临床资料，对黄斑裂孔闭合的成功率及患者视力进行比较，其结果用χ２检验进行统计分析。结果光凝一次成功者４４只眼，占８４．６％，光凝二次成功者８只眼，占１５．４％；光凝后视力提高或不变者４９只眼，占９４．２％，光凝后视力下降者３只眼，占５．８％；氩激光与倍频Ｎｄ∶ＹＡＧ激光光凝后的患者视力比较无显著性差异。结论激光治疗近视性黄斑裂孔成功率高并能有效保持患者视力。
Objective To evaluate the efficacy of laser treatment of myopic macular hole. Methods Retrospective analysis of 56 cases of myopic macular hole treated with argon laser and double frequency Nd:YAG laser in Shanghai Ruijin Hospital from 1985 to 1995 were followed up for an average of 14 months, the data were complete in 52 cases of clinical data, macular hole closure The success rate and patients with visual acuity were compared with the results of χ2 test for statistical analysis. RESULTS: Forty-four eyes (84.6%) were successfully treated with photocoagulation and 8 eyes (8 eyes) with successful secondary photocoagulation, accounting for 15.4%. 49 eyes (94.2% , Visual acuity after photocoagulation in 3 eyes, accounting for 5.8%; argon laser and frequency doubling Nd:YAG laser photocoagulation of patients with no significant difference in visual acuity. Conclusion Laser treatment of myopic macular hole has a high success rate and can effectively maintain the patient’s vision.