CAJ | 학술논문

目的分析玻璃体手术联合视网膜切开或部分切除治疗外伤性复杂视网膜脱离的手术效果.方法对116例(116眼)外伤复杂性视网膜脱离行玻璃体手术联合视网膜切开或部分切除,观察并分析临床效果.手术方式采用通过睫状体平坦部标准巩膜三通道行玻璃体切除、剥膜、视网膜切开或部分切除、过氟化碳液体使用、视网膜光凝、气体-过氟化碳液体交换、填充C3F8或硅油.116眼均采用视网膜切开或部分切除联合术.术后2-4周补视网膜光凝1次,观察3～6个月.结果 116眼出院时均达到视网膜解剖复位并行眼底照相、验光存档,有效率达100％.视力＞0.05者87眼,占75％,最好视力达到0.6.增生性玻璃体视网膜病变视网膜再脱离5眼.结论在外伤复杂视网膜脱离行玻璃体切除联合视网膜切开或切除提高了视网膜解剖复位率特别是对视网膜增生增厚、僵硬、视网膜下线条等是一种重要手段,但视功能与疾病损伤程度、手术时机等相关.
목적 분석파리체수술연합시망막절개혹부분절제치료외상성복잡시망막탈리적수술효과.방법 대116례(116안)외상복잡성시망막탈리행파리체수술연합시망막절개혹부분절제,관찰병분석림상효과.수술방식채용통과첩상체평탄부표준공막삼통도행파리체절제、박막、시망막절개혹부분절제、과불화탄액체사용、시망막광응、기체-과불화탄액체교환、전충C3F8혹규유.116안균채용시망막절개혹부분절제연합술.술후2-4주보시망막광응1차,관찰3～6개월.결과 116안출원시균체도시망막해부복위병행안저조상、험광존당,유효솔체100％.시력＞0.05자87안,점75％,최호시력체도0.6.증생성파리체시망막병변시망막재탈리5안.결론 재외상복잡시망막탈리행파리체절제연합시망막절개혹절제제고료시망막해부복위솔특별시대시망막증생증후、강경、시망막하선조등시일충중요수단,단시공능여질병손상정도、수술시궤등상관.
Objective To analyze the surgical effect of complicated traumatic retinal detachment treated with vitrectomy combined with retinotomy or parts of retinectomy.Methods 116 cases (116 eyes)with complicated traumatic retinal detachment,were treated with vitrectomy combined with retinotomy or parts of retinectomy.The clinical effects were observed and analyzed.Operation methods were treated by undergone pars plana vitrectomy combined with the methods of vitrectomy membrance excision,retinotomy or parts of retinectomy,perfluorocarbon liquids,retinal coagulation of laser,exchange between gas and perfluorocarbon liquids,silicon oil and C3F8 filling.Retinal coagulation of laser was performed one time 2-4 weeks after operation in each patient,the follow-up periods were 3-6 months.Results Retinal reattachment were attained in 116 eyes when leaving hospital,the photograph of the fundus and optometry were performed and archived.The effective rate was 100％.87 cases (75％) had vision better than 0.5 and the best visual acuity reacheed 0.6.The retinal detachment recurred in five eyes because of proliferative vireoretinopathy.Conclusion Vitrectomy combined with retinotomy or parts of retinectomy is an effective way for treating complicated traumatic retinal detachment,which can improve the rate of retinal attachment,and is an important method for retinal proliferation and thickness,retinal rigid,subretinal stripe especially.But visual function recovery is related to the retinal disease degree,operation opportunity and so on.