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目的分析后巩膜加固术后导致的严重并发症视网膜脱离。方法对后巩膜加固术后导致的视网膜脱离20例(22只眼)进行临床观察,并对其特殊性予以分析和讨论。结果后巩膜加固术对高度近视眼的疗效并不理想,它不能改善后极部视网膜的血供。此手术有多种并发症,特别是严重的视网膜脱离,其病情重、发展快,手术治愈率仅为59.1%。结论治疗高度近视眼的后巩膜加固术是一种不成熟的手术方法,尚需进行更多的实验研究与临床观察,不宜过早推广这一手术。
Objective To analyze the severe complications of retinal detachment caused by posterior scleral reinforcement. Methods Twenty eyes (22 eyes) with retinal detachment caused by posterior scleral reinforcement were studied clinically, and its specificity was analyzed and discussed. Results Scleral reinforcement for the treatment of high myopia is not ideal, it can not improve the blood supply to the posterior pole retina. This operation has a variety of complications, especially severe retinal detachment, its serious condition, rapid development, surgical cure rate was only 59.1%. Conclusion The treatment of posterior scleral reinforcement in high myopia is an immature surgical method. More experimental research and clinical observation are still needed. It is not advisable to promote this operation prematurely.