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上方球形视网膜脱离的最小量巩膜扣带术模式化手术探讨 预览

Standardized surgery for superior bullous retinal detachment with minimal sclera buckling
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摘要 目的回顾性分析上方球形视网膜脱离的最小量巩膜扣带术模式化手术临床疗效。方法从2015年1月到2017年9月在我院就诊的上方球形视网膜脱离患者共27例(27只眼),按照最小量巩膜扣带6步法流程进行手术治疗,观察患者术后视网膜复位预后情况及安全性评价。结果其中痊愈患者19例(70.4%),好转1例(3.7%),未愈7例(25.9%),一次手术成功率为74.1%,未见明显玻璃体混浊、眼内出血、感染、白内障、高眼压等并发症。结论最小量巩膜扣带术由于创伤小,模式化手术流程有利于规范手术操作,减少术者间差异,手术成功率较高,故适合初学者掌握,并适宜在基层医院推广。但由于本组病例量有限,其实际临床效果还需要进一步证实。 Objective To investigate the standardized surgery for superior bullous retinal detachment with minimal sclera buckling. Methods 7 patients(27 eyes) with superior bullous retinal detachment treated in our hospital between January 2015 and September 2017 were included in this study. Each patient underwent a standardized minimal sclera buckling which consists of six procedures. Retinal reattachment ratio and surgical safety were reviewed respectively. Results Retinal detachment was cured in 19 patients,improved in 1 patient and remained unchanged in 7 patients. Successful rate of the surgery was 74. 1%. There was no complication,such as vitreous opacity,hemorrhage,infection,cataract and high intraocular pressure reported. Conclusions The standardized minimal sclera buckling for superior bullous retinal detachment is an effective surgery results in less injury. Standardization reduces the risk from the surgeons and is therefore ideal for beginners. However,considering the small sample size,a further study with more patients and long-term follow-up is needed.
作者 赵冰莹 许亚静 龚健杨 Zhao Bingying , Xu Yajing, Gong Jianyang.( Department of Ophthalmology, First Ajfiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China)
出处 《临床眼科杂志》 2018年第2期130-132,共3页 Journal of Clinical Ophthalmology
关键词 视网膜脱离 巩膜扣带术 标准化 Retinal detachment Sclera buckling Standardization
作者简介 通讯作者:龚健杨(Email:gongjianyang07@163.com)
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