方法：回顾分析我院以RD为第一诊断并经手术治疗视网膜复位成功的病例资料，共119例119眼。其中采用巩膜环扎手术38例、玻璃体联合视网膜复位手术81例。观察RD患者的发病年龄、RD时间、RD范围、有无裂孔、黄斑状态、增生性玻璃体视网膜病变(proliferative vitreoretinopathy， PVR)程度、手术前后视力、术后视网膜复位情况，用χ²检验对其进行分析，根据结果选择差异具有统计学意义的因素进行Spearman等级相关检验。

结果：视网膜复位术后患者视力提高65例(54.6%)，视力不变34例(28.6%)，视力下降20例(16.8%)。RD患者发病的不同年龄、RD时间、RD范围、黄斑状态、PVR分级及有无裂孔对术后视力恢复的影响差异具有统计学意义(P<0.05)。对有统计学差异的因素进行Spearman等级相关检验，发现上述术前因素与术后视力关联程度从大到小分别为：PVR分级(r_s=-0.493，P=0.000)、RD范围(r_s= -0.476，P=0.000)、有无裂孔(r_s=-0.411，P=0.000)、黄斑是否脱离(r_s=-0.360，P=0.000)、RD时间(r_s=-0.334， P=0.000)、患者年龄(r_s=-0.241，P=0.008)。

结论：RD患者术前PVR分级、RD范围、有无裂孔、黄斑状态、RD时间和年龄是影响术后视力恢复的重要因素，其中术前PVR分级、RD范围、有无裂孔对术后视力的恢复影响最为显著。

METHODS: A total of 119 cases(119 eyes)who were admitted with the first diagnosis of RD and recovered after operative treatment were retrospectively analyzed. Among them, 38 cases received scleral buckling operation, and the other 81 cases received vitrectomy and retinal reattachment operation. The onset age of retinal detachment, the affected area, holes, the macular state, the level of proliferative vitreoretinopathy(PVR), visual acuity before and after operation, and retinal reattachment were studied. Chi-square test was used to analyze the differences. Spearman rank correlation was used to test the results of statistical significance.

RESULTS: After retinal reattachment, visual acuity was improved in 65 eyes(54.6%), remained unchanged in 34 eyes(28.6%), and decreased in 20 eyes(16.8%). The influences of the onset age, the duration of retinal detachment, the range of retinal detachment, the hole, the macular state, the level of proliferative vitreoretinopathy had significant influence on recovery of visual acuity(P<0.05). Using spearman rank correlation analysis, we found that the preoperative factors associated with postoperative visual acuity included in the descending order of the correlation degree: the level of PVR(r_s=-0.493, P=0.000), the range of RD(r_s=-0.476, P=0.000), the hole(r_s=-0.411, P=0.000), the macular state(r_s=-0.360, P=0.000), the duration of RD(r_s=-0.334, P=0.000), and the age of the patients(r_s=-0.241, P=0.008).

CONCLUSION: The level of PVR, the range of retinal detachment, the hole, the macular state, the time of RD and the age of patients are important factors influencing the postoperative vision recovery, with the first three being the most important.