论文部分内容阅读
目的：观察和探讨下直肌牵引悬吊和不放液治疗孔源性视网膜脱离（RRD）的疗效及临床应用价值.方法：对上方脱离者采用下直肌悬吊;手术采用不放液局部巩膜外垫压术.结果：上方网脱74眼经下直肌悬吊后加压包扎17眼网膜自行复位，有效率达90.54％;131眼采用不放液局部巩膜外垫压术，手术一次成功121眼（92.36％）;网膜下液的吸收不受年龄、屈光状况、脱离范围和网膜下液量的影响;手术失败者为术中裂孔封闭不完全和裂孔处有牵拉.结论：下直肌悬吊方法可阻止上方网脱向下扩展，促进网膜下液的吸收，有利于手术中裂孔的封闭和网膜复位.不放液局部垫压术操作简单，并发症少，手术的关键是封闭裂孔.
Objective: To observe and discuss the effect and clinical value of traction and suspension of the lower rectus muscle and the treatment of rhegmatogenous retinal detachment (RRD) .Methods: Scleral buckling was performed.Results: The upper reticular edema in 74 eyes underwent re-pressure bandage of 17 eyes through the rectus abdominis muscle, and the effective rate was 90.54%. 131 eyes underwent partial scleral buckling without surgery, One successful 121 eyes (92.36%); subretinal fluid absorption from age, refractive status, detachment range and the amount of subretinal fluid impact; operation failure for the intraoperative closure of the hole is not complete and pull the hole at the pull .Conclusion: The lower rectus suspension method can prevent the top of the net from descending downward, promote absorption of subretinal fluid, is conducive to the closure of the surgical holes and omentum reduction. Local non-discharge partial pressure operation is simple, complications Less, the key to surgery is to close the hole.