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目的总结眼内猪囊尾蚴病的治疗经验。方法对４８例眼内猪囊尾蚴病的手术效果进行统计分析。结果囊尾蚴均１次手术完整取出，成功率１００％。视网膜下囊尾蚴１６眼，巩膜切开法取出１０眼，玻璃体切割术取出６眼，术后视力均无明显改善，各有１眼在术后发生视网膜脱离。玻璃体内囊尾蚴共３２眼，钝针吸取法取出１７眼，术后２眼发生视网膜脱离，玻璃体混浊加重，视力均下降；玻璃体切割术取出１５眼，术前８眼合并视网膜脱离术后４眼复位（Ｐ＜０．０５），术后无视网膜脱离发生，术后９眼视力提高（Ｐ＜０．０１）。结论玻璃体内囊尾蚴用玻璃体切割术取出明显优于钝针吸取法，玻璃体切割术取出后极部视网膜下囊尾蚴是一种新的治疗方法。
Objective To summarize the therapeutic experience of intraocular swine cysticercosis. Methods 48 cases of intraocular necrosis of the surgical results were statistically analyzed. Results Cysticerci were completely removed in one operation, the success rate was 100%. Retinal cysticercosis 16 eyes, sclerectomy removed 10 eyes, vitrectomy removed 6 eyes, no significant improvement in postoperative visual acuity, retinal detachment occurred in 1 eye each. Cysticercus cellulosae were 32 eyes, 17 eyes were removed by blunt needle aspiration, retinal detachment was observed in 2 eyes after operation, vitreous opacity was aggravated and visual acuity was decreased. 15 eyes were removed by vitrectomy, 4 eyes were preoperatively combined with retinal detachment (P <0.05). No retinal detachment occurred after operation. Visual acuity was improved in 9 eyes after operation (P <0.01). Conclusion Vitreous cysticercus is obviously superior to blunt needle aspiration by vitrectomy. Posterior subcapsular cysticercosis is a new treatment method after vitrectomy.