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目的探讨视网膜切开与切除术在复杂性视网膜脱离手术中的临床应用。方法对2003年7月至2004年3月间行视网膜切开与切除的50例复杂性视网膜脱离患者作回顾性分析,其中外伤性视网膜脱离21例,复发性视网膜脱离10例,增殖性糖尿病视网膜病变8例,巨大裂孔性网脱8例,其他3例伴有球内异物。结果所有患者出院时视网膜解剖复位,有效率100%,30例视力不同程度改善。术后随访3-14月(平均6月),视网膜复位42例,占93%,视力>0.05者12例,占27%。结论视网膜切开和切除术提高了复杂性视网膜脱离的成功率。
Objective To investigate the clinical application of retinal detachment and resection in complex retinal detachment surgery. Methods Retrospective analysis was performed on 50 patients with complicated retinal detachment who underwent retinal detachment and resection from July 2003 to March 2004. There were 21 cases of traumatic retinal detachment, 10 cases of recurrent retinal detachment, 10 cases of proliferative diabetic retinopathy 8 cases of pathological changes, 8 cases of giant rupture net off, the other 3 cases with intracranial foreign body. Results All patients were discharged retinal anatomical reduction, the effective rate of 100%, 30 cases of varying degrees of visual acuity improved. Postoperative follow-up 3 to 14 months (mean June), retinal reattachment in 42 cases, accounting for 93%, visual acuity> 0.05 in 12 cases, accounting for 27%. Conclusion Retinal incision and resection improve the success rate of complex retinal detachment.