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本文创用玻璃体视网膜联合手术方法,对29例伴周边部增殖性玻璃体视网膜病变的非糖尿病性玻璃体积血进行治疗。根据术前B 超形态学检查和玻璃体手术中直视观察,判断增殖病变的部位,同时采用对抗增殖区放射状牵拉点和缓解玻璃体基底部环状收缩的治疗原则,将网脱型玻璃体积血手术治愈率和总治愈率分别提高至82.8%和94.1%,大大减少了医源性并发症。这种手术方法对眼组织损伤小、操作简单、疗效确切,基本上解决了因牵拉性视网膜脱离导致的玻璃体手术失败。
In this paper, the use of vitreoretinal surgery combined with 29 cases of peripheral proliferative vitreoretinopathy non-diabetic vitreous hemorrhage were treated. According to the preoperative B-mode morphological examination and vitreous surgery in the direct observation, to determine the location of proliferative lesions, while using the proliferation of anti-proliferative zone pulling point and mitigate the principle of ring-shaped contraction of the basal body, the principle of net deplatelet vitreous hemorrhage Surgical cure rate and total cure rate increased to 82.8% and 94.1% respectively, greatly reducing iatrogenic complications. This surgical method of eye tissue damage is small, simple operation, the exact effect, basically solved due to traction retinal detachment caused by failure of vitreous surgery.