目的　探讨视网膜脱离合并脉络膜脱离的手术方法、效果及失败原因。方法　回顾性分析 31例 31眼玻璃体视网膜手术(VR手术 ) ,全部眼有脉络膜脱离和增殖性玻璃体视网膜病变(PVR) ,采用玻璃体切割及视网膜前膜剥离 ,眼内惰性气体或硅油填充。结果　 31例患者视网膜全部复位者 2 2例 (70 .9% ) ,部分复位 5例 (16 .1% ) ,未复位 4例 (12 .9% )。 2 5眼视力有增进 ,5眼无变化 ,1眼下降。手术失败的主要原因可能与严重的前部PVR有关。结论　伴有脉络膜脱离的视网膜脱离患者采用 VR手术 ,可提高其手术成功率。 Objective To investigate the surgical methods, effects and failure causes of retinal detachment complicated with choroidal detachment. Methods 31 cases of vitreoretinal surgery (VR) were retrospectively analyzed. All eyes had choroidal detachment and proliferative vitreoretinopathy (PVR). Vitrectomy and anterior retinal detachment were performed. Intravenous inert gas or silicone oil was used for filling. Results All the retina were retrospectively analyzed in 22 patients (70.9%) in 31 patients, partial reduction in 5 cases (16.1%), and failure in 4 cases (12.9%). 25 eyes improved visual acuity, 5 no change, 1 decreased. The main reason for surgery failure may be related to severe anterior PVR. Conclusion VR patients with retinal detachment associated with choroidal detachment may improve the success rate of surgery.