一、视网膜脱离手术放液问题的演变早在本世纪20年代,Gonin发表视网膜裂孔是原发性视网膜脱离的原因,并通过封闭裂孔,使视网膜脱离的治愈率由5%增至40%左右。这是视网膜脱离治疗史上划时代的进展。迄今半个多世纪以来,仍遵循着这一治疗原则。但随着检查技术的进步、组织反应更低之植入物的使用及玻璃体手术的开展,效疗又大为提高,成功率已达90%以上。近年来普遍采用Schepens和Custodis两类手术方式,即巩膜扣摺术和巩膜外加压术。巩膜 First, the retinal detachment operation evacuation problem As early as 20s of this century, Gonin published retinal holes is the cause of primary retinal detachment, and by closing the hole, the retinal detachment cure rate increased from 5% to 40%. This is an epoch-making advancement in the treatment of retinal detachment. For more than half a century, this principle of treatment has still been followed. However, with the advancement of examination techniques, the use of implants with lower tissue reaction and vitreous surgery has been greatly improved, with a success rate of more than 90%. In recent years, Schepens and Custodis two commonly used surgical methods, scleral buckling and scleral buckling surgery. sclera