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目的 探讨黄斑孔视网膜脱离手术治疗的最佳方法。方法 比较玻璃体腔内注气与玻璃体切割、自体浓缩血小板封孔联合眼内填充术术后复位率及视力。结果 玻璃体腔内注气组术后视网膜复位率为882%,玻璃体切割联合眼内填充组为100%。术后视力玻璃体切割联合眼内填充组明显优于玻璃体腔内注气组(P<001)。术中血小板封孔组明显优于非血小板封孔组(P<005)。结论 玻璃体切割、自体浓缩血小板封孔联合眼内填充术是一种增视的黄斑孔视网膜脱离的手术方法。
Objective To explore the best method of surgical treatment of macular hole retinal detachment. Methods Comparing the rate of intravitreal injection with vitrectomy, autologous concentrated platelet sealing combined with intraocular filling in postoperative reduction rate and visual acuity. Results Intravitreal gas injection group retinal reattachment rate was 882%, vitrectomy combined intraocular filling group was 100%. Postoperative vitrectomy combined with intraocular filling group was significantly better than intravitreal gas injection group (P <001). Intraoperative platelet sealing was significantly better than non-platelet sealing (P <005). Conclusions Vitrectomy, autologous concentrated platelet sealing combined with intraocular filling is a surgically modified method of macular hole retinal detachment.