CAJ | 학술논문

目的：评估视网膜冷冻联合球内注气术对一组孔源性视网膜脱离患者的治疗效果以及初次手术失败原因分析。方法：对32例孔源性视网膜脱离患者行视网膜冷冻联合球内注气术病例行回顾性分析，患者术前均行最佳矫正视力、裂隙灯显微镜、间接检眼镜及三面镜检查确诊。所有患者均行经巩膜冷凝术联合球内注射膨胀气体，根据裂孔的位置选择恰当体位。术后随访6～24个月，观察视网膜是否复位、视力及并发症。对失败病例做具体分析。结果：经巩膜视网膜冷凝联合球内注气，一次手术术后视网膜复位26眼（81％），4眼二次行巩膜外冷凝联合扣带术获得视网膜复位。2眼行玻璃体切割联合SF6填充获得视网膜复位，所有病例最终复位率达100％。术后视力较术前视力明显提高（P ＜0．01）。结论：经巩膜视网膜冷凝联合球内注气术是治疗新鲜的孔源性视网膜脱离的一种有效的、简单的、损伤小、花费低的方法。
목적：평고시망막냉동연합구내주기술대일조공원성시망막탈리환자적치료효과이급초차수술실패원인분석。방법：대32례공원성시망막탈리환자행시망막냉동연합구내주기술병례행회고성분석，환자술전균행최가교정시력、렬극등현미경、간접검안경급삼면경검사학진。소유환자균행경공막냉응술연합구내주사팽창기체，근거렬공적위치선택흡당체위。술후수방6～24개월，관찰시망막시부복위、시력급병발증。대실패병례주구체분석。결과：경공막시망막냉응연합구내주기，일차수술술후시망막복위26안（81％），4안이차행공막외냉응연합구대술획득시망막복위。2안행파리체절할연합SF6전충획득시망막복위，소유병례최종복위솔체100％。술후시력교술전시력명현제고（P ＜0．01）。결론：경공막시망막냉응연합구내주기술시치료신선적공원성시망막탈리적일충유효적、간단적、손상소、화비저적방법。
Objective To demonstrate the visual results and complications of an cryopexy in combination with intravitreal injection of expending gas in the therapy of primary rhegmatogenous retinaldetachment (RRD). Methods Thirty-two cases (32 eyes) were retrospectively reviewed in this study. The RRD diagnosis was confirmed by best corrected visual acuity,slit-lamp microscope,indirected ophthalmoscope and Goldman three-mirror contact lens. All patients had undergone cryopexy with intravitreal gas injection and assisted by correct body position. Patients were followed for 6 to 24 months. Post-operative BCVA,final anatomical outcome, complications and failed cases were analyzed. Results The reattachment rate of cryopexy with intravitreal gas injection was 81%(26/32 eyes). Four eyes required additional scleral buckling. Two eyes needed additional vitrectomy with intravitreal injection of expending gas (SF6).Final retinal reattachment was achieved in all 32 subjects (100%). Postoperative BCVA was significantly improved (P < 0.01). Conclusion Cryopexy with intravitreal gas injection is a simple,less trauma, lower cost and effective surgery for primary rhegmatogenous retinaldetachment.