目的:观察巩膜扣带术治疗孔源性视网膜脱离的效果。方法:孔源性视网膜脱离患者192例195眼,术中直视下定位、冷凝视网膜裂孔。131眼行巩膜表面节段性外加压,其中37眼联合环扎术;另64眼单纯行环扎术。145眼进行了视网膜下液引流术;16眼在手术结束时行玻璃体腔气体充填。结果:单次手术视网膜解剖复位185眼,首次手术复位率94.9%。术后视力较术前显著提高,且差异有统计学意义(P<0.05)。术中及术后无严重并发症发生。结论:巩膜扣带术治疗孔源性视网膜脱离安全有效。

AIM:To discuss the therapeutic effect,surgical indication of scleral buckling for rhegmatogenous retinal detachment(RRD).METHODS:The major surgeries were as follows:retinal breaks locating,cryotherapy,scleral buckling or encircling scleral buckling.192 cases 195 eyes with RRD accepted surgery,including 131 eyes in segmental scleral buckling and 64 eyes in encircling scleral buckling.Among these cases 145 eyes underwent subretinal fluid drainage and 16 eyes with gas filing into vitreous space.RESULTS:The rate of retinal reattachment after one surgical procedure was 94.9%.The postoperative visual acuity increased significantly,which had statistical difference compared with that of the preoperative(P<0.05)And there were no serious complications in operation and postoperation.CONCLUSION:Scleral buckling appears to be safe and effective in patients with RRD.

R779.6