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目的探讨间接眼底镜联合显微镜行巩膜扣带手术的可行性及效果。方法自2005年1月～2005年6月间对40例40眼裂孔源性视网膜脱离患者,在显微镜下行球结膜环形剪开、四直肌预置牵引线、巩膜外放液、巩膜缝线固定硅胶(或硅海绵)外加压块及环扎条带及缝合球结膜,在间接眼底镜下行视网膜裂孔定位及冷凝。手术后随访6m～12m。结果所有患者手术过程顺利,无手术中并发症;手术后视网膜完全复位38眼,1眼经补充光凝后视网膜复位,1眼手术后视网膜脱离复发经玻璃体手术后视网膜复位;手术后视力提高33眼,不变6眼,下降1眼。结论间接眼底镜联合显微镜操作巩膜扣带术,精确、可靠、创伤小、手术效果好,病人满意度高。
Objective To investigate the feasibility and effect of scleral buckling with indirect ophthalmoscope and microscopy. Methods From January 2005 to June 2005, 40 patients with 40 eyes with rhegmatogenous retinal detachment underwent a ring-shaped resection of the bulbar conjunctiva under the microscope, the traction line of the rectus abdominis muscle, the scleral buckling and scleral suture fixation Silicone (or silicon sponge) plus pressure block and ring bar and suture knot conjunctiva, indirect ophthalmoscope retinal hole positioning and condensation. Follow-up 6m ~ 12m after operation. Results All the patients underwent surgery without any complications. The retina was fully resected in 38 eyes after surgery, the retina was repaired by photocoagulation in one eye, the retinal detachment occurred after surgery in one eye and the retina was restored after vitrectomy. The visual acuity improved 33 Eyes, unchanged 6 eyes, down 1 eyes. Conclusion indirect ophthalmoscope combined with microscopy scleral buckling surgery, accurate, reliable, less trauma, surgical results, patients with high satisfaction.