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目的评价节段性巩膜外加压手术治疗孔源性视网膜脱离的效果。方法对163例孔源性视网膜脱离患者在间接检眼镜下行视网膜裂孔精确定位,行孔周冷凝、放液、巩膜外加压手术。试验组为不联合巩膜环扎组,共89例(93眼);对照组为联合巩膜环扎组,共74例(76眼)。术后随访6~9个月。结果①试验组视网膜复位89眼,对照组视网膜复位72眼;②视网膜复位者术后6个月矫正视力:试验组提高82眼,对照组提高64眼。结论节段性巩膜外加压手术治疗孔源性视网膜脱离简化了手术操作,视力预后较好,是一种有效的手术方式。
Objective To evaluate the effect of segmental scleral buckling on rhegmatogenous retinal detachment. Methods 163 cases of rhegmatogenous retinal detachment patients underwent indirect ophthalmoscope retinal holes under the precise positioning of peritubular condensation, draining, scleral buckling surgery. The experimental group was non-scleral cerclage group, a total of 89 cases (93 eyes); the control group was scleral buckling group, a total of 74 cases (76 eyes). Follow-up 6 to 9 months after operation. Results ① Retinal reattachment was performed in 89 eyes of the trial group and 72 eyes of the retina in the control group. ② Retinal visual acuity was corrected at 6 months after surgery in the retina: 82 eyes in the test group and 64 eyes in the control group. Conclusion Segmental scleral compression surgery for rhegmatogenous retinal detachment to simplify the operation, visual prognosis is good, is an effective surgical approach.