中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
7期
896-898
,共3页
顾永昊%柯根杰%王林%顾起宏%周恩亮
顧永昊%柯根傑%王林%顧起宏%週恩亮
고영호%가근걸%왕림%고기굉%주은량
孔源性视网膜脱离%位置%裂孔
孔源性視網膜脫離%位置%裂孔
공원성시망막탈리%위치%렬공
Rhegmatogenous retinal detachment%Location%Break
目的 分析78例周边孔源性视网膜脱离患者裂孔分布和位置情况.方法 周边部孔源性视网膜脱离患者78例(78只眼)行巩膜扣带术,术中测量记录裂孔位置、裂孔后缘至角巩膜缘距离、形态、大小、与变性带关系、与斜肌关系等.结果 78只眼共查见裂孔113个,分布于颞上方裂孔最多占63.72％,马蹄形裂孔64个(54.64％),圆孔49个(43.36％),34.62％患眼有超过一个裂孔,裂孔距角巩膜缘7.5～17 mm,平均12.60 mm,裂孔与眼轴之间显著相关(F =4.035,P=0.047),裂孔位于变性带两端32只眼(41.02％),49.56％的裂孔位于斜肌止端约1个钟点范围内.结论 周边孔源性视网膜脱离患者眼轴越长,裂孔后缘距离角巩膜缘就越远,裂孔好发位置为颞上和颞下象限.这些分布与位置特点对检查及手术中裂孔的寻找定位和处理具有参考价值.
目的 分析78例週邊孔源性視網膜脫離患者裂孔分佈和位置情況.方法 週邊部孔源性視網膜脫離患者78例(78隻眼)行鞏膜釦帶術,術中測量記錄裂孔位置、裂孔後緣至角鞏膜緣距離、形態、大小、與變性帶關繫、與斜肌關繫等.結果 78隻眼共查見裂孔113箇,分佈于顳上方裂孔最多佔63.72％,馬蹄形裂孔64箇(54.64％),圓孔49箇(43.36％),34.62％患眼有超過一箇裂孔,裂孔距角鞏膜緣7.5～17 mm,平均12.60 mm,裂孔與眼軸之間顯著相關(F =4.035,P=0.047),裂孔位于變性帶兩耑32隻眼(41.02％),49.56％的裂孔位于斜肌止耑約1箇鐘點範圍內.結論 週邊孔源性視網膜脫離患者眼軸越長,裂孔後緣距離角鞏膜緣就越遠,裂孔好髮位置為顳上和顳下象限.這些分佈與位置特點對檢查及手術中裂孔的尋找定位和處理具有參攷價值.
목적 분석78례주변공원성시망막탈리환자렬공분포화위치정황.방법 주변부공원성시망막탈리환자78례(78지안)행공막구대술,술중측량기록렬공위치、렬공후연지각공막연거리、형태、대소、여변성대관계、여사기관계등.결과 78지안공사견렬공113개,분포우섭상방렬공최다점63.72％,마제형렬공64개(54.64％),원공49개(43.36％),34.62％환안유초과일개렬공,렬공거각공막연7.5～17 mm,평균12.60 mm,렬공여안축지간현저상관(F =4.035,P=0.047),렬공위우변성대량단32지안(41.02％),49.56％적렬공위우사기지단약1개종점범위내.결론 주변공원성시망막탈리환자안축월장,렬공후연거리각공막연취월원,렬공호발위치위섭상화섭하상한.저사분포여위치특점대검사급수술중렬공적심조정위화처리구유삼고개치.
Objective To analyze the distribution and location of breaks in patients with peripheral rhegmatogenous retinal detachment.Methods Seventy-eight cases (78 eyes) with peripheral rhegmatogenous retinal detachment underwent scleral buckling.The location,shape and size of breaks,distance to limbus,relationship with retinal degeneration and oblique muscles were measured and recorded.Results A total of 113 holes were found in 78 eyes and most of them (63.72％) were located in superiotemporal area.They were comprised of 64 tears and 49 holes.There were 34.62％ eyes having more than 1 hole.The distances to limbus ranged from 7.5 mm to 17 mm (average at 12.60 mm),which had significant relationship with ocular axis (F =4.035,P =0.047).The breaks were located at two ends of retinal degeneration area in 32 eyes (41.02％) and 49.56％ breaks were near the ends of oblique muscles.Conclusions The distance to limbus of breaks is longer in patients with longer ocular axis.Most frequent locations are superiortemporal and inferiortemporal.The breaks are frequently at two ends of retinal degeneration area.The results are helpful in patients' examination and breaks' finding and locating.
