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目的:探讨视网膜切开及切除在复杂性视网膜脱离、视网膜下手术的临床应用。方法:对1994年1月至1995年4月行视网膜切开和切除的28例作回顾性分析。结果:11例视网膜切开内排液,10例视网膜平复,视力提高。7例视网膜下新生血管膜手术切除,4例视功能改善,3例维持不变。视网膜下增殖膜1例,术后因视网膜脱离失败。视网膜切除的9例患者中,巨大裂孔视网膜脱离伴增殖性玻璃体视网膜病变4例,2例在术中无法复位,2例采用过氟化碳压平视网膜加周边僵硬视网膜切除,获得成功;大裂孔视网膜脱离5例均切除僵硬裂孔边缘后视网膜平复,视力改善。结论:视网膜切开及切除术有利于视网膜下手术的实施及提高复杂性视网膜脱离的治愈率。
Objective: To investigate the clinical application of retinal detachment and resection in complex retinal detachment and subretinal surgery. Methods: A retrospective analysis was performed on 28 cases of retinal incision and resection from January 1994 to April 1995. Results: 11 cases of retina incision in the drainage, 10 cases of retina, visual acuity improved. 7 cases of subretinal neovascular membrane surgery, 4 cases of visual function improved, 3 cases remained unchanged. 1 case of subretinal proliferation membrane, postoperative retinal detachment failure. Of the 9 patients who underwent retinal detachment, 4 were cases of giant retinal detachment with proliferative vitreoretinopathy, 2 were unable to be reset during surgery, and 2 were successfully treated with carbon tetrafluoride retina plus peripheral rigid retinal detachment; Retinal detachment in 5 cases were removed after the edge of rigid hiatus retina, visual acuity improved. Conclusion: Retinal resection and resection are good for the implementation of subretinal surgery and the cure rate for complicated retinal detachment.