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目的：探讨青少年视网膜脱离的临床特点。方法：对１９８１年８月至１９９５年８月１５年间手术治疗的２４９例３０岁以下的青少年视网膜脱离与３３５例３０岁以上成人患者进行回顾性对比分析。结果：青少年组的男性患病、双眼患病、眼球钝挫伤史及正视眼比率均明显高于成年组（Ｐ＜０．０１）。视网膜圆型孔占６６．１５％，锯齿缘断离占１６．８１％；成年组马蹄形孔及黄斑裂孔明显高于青少年组（Ｐ＜０．０１）。青少年组手术治愈率达８５．１７％，与成年组相比有显著性差异（Ｐ＜０．０１）。结论：视网膜周边部变性、颞下象限锯齿缘部的先天异常及眼球钝挫伤是造成青少年视网膜脱离的主要原因。
Objective: To investigate the clinical features of adolescent retinal detachment. Methods: A retrospective analysis was performed on 249 adolescent retinal detachments under the age of 30 and 335 adults over the age of 30 who were surgically treated between August 1981 and August 1995. Results: The prevalence rate of male patients, the prevalence of binocular diseases, the history of blunt eyeball trauma and the ratio of emmetropia in adolescent group were significantly higher than those in adult group (P <0.01). Retina round hole accounted for 66.15%, jagged edge off accounted for 16.81%; adult horseshoe and macular hole was significantly higher than the adolescent group (P <0.01). The cure rate of adolescent group was 85.17%, which was significantly different from that of adult group (P <0.01). Conclusion: Peripheral retinal degeneration, congenital anomalies in the inferior quadrant of the inferior temporal quadrant, and blunt eyeball contusion are the major causes of retinal detachment in adolescents.