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本文报告了97例99眼孔源性视网膜脱离运用环扎加压不放液手术治疗,总成功率达92.92%,其中:按赵氏膜分级,Ⅰ—Ⅱ:96.20%;ⅢA:88.24%。提出环扎加压不放液手术具有手术术操作简单,并发症少,有较广的适应症。讨论了视网膜下液吸收的机理,影响视网膜下液吸收的因素,认为视网膜下液的吸收,不受年龄、屈光状态、脱离范围、视网膜下液量的影响,而主要与脱离时间及裂孔是否被封有关。对手术操作要点作了说明,提出建立一个良好的加压嵴以推顶裂孔是手术成功的关键。认为该手术同样适用于伴有脉络膜脱离,无晶体视网膜脱离及部分再手术的患眼,值得在临床上更好推广。
This report reported the 97 cases of 99-hole retinal detachment using cerclage pressure without liquid surgery, the total success rate of 92.92%, of which: according to Zhao’s membrane grading, Ⅰ-Ⅱ: 96.20%; Ⅲ A : 88.24%. Proposed cerclage pressure without liquid surgery with surgery is simple, less complications, a wider indications. The mechanism of subretinal fluid absorption and the factors affecting the subretinal fluid absorption were discussed. The subretinal fluid absorption was considered not affected by age, refractive status, detachment range and subretinal fluid volume. Be sealed. The main points of the operation were described, and it was suggested that establishing a good pressure crest to push the hole is the key to successful operation. That the surgery is also suitable for associated with choroidal detachment, no lens retinal detachment and partial re-operation of the eye, it is worth to clinically better.