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目的：对视网膜脱离手术方法和效果进行统计分析。方法：两年中连续６６例孔源性视网膜脱离病人接受手术，手术方法为，裂孔定位后经巩膜ＣＯ２冷凝，放视网膜下液，硅胶外加压或环扎，或加玻璃体注气。结果：术后随访３个月至２年，视网膜复位率９２．４％，８６．４％的患者视力提高，未成功者包括玻璃体增殖膜形成、无晶体眼、巨大裂孔等。结论：巩膜冷凝和硅胶外加压或环扎是治疗孔源性视网膜脱离常用有效的方法，应掌握手术适应证和根据具体情况选择手术方式。
Objective: To analyze the methods and effects of retinal detachment surgery. Methods: Sixty-two cases of rhegmatogenous retinal detachment were operated on in two years. The surgical procedure consisted of posterior scleral CO2 condensation, subretinal fluid placement, external compression or cerclage of silica gel, or vitreous gas injection. Results: The follow-up period was 3 months to 2 years. The retinal reattachment rate was 92.4%. The visual acuity of 86.4% patients was improved. The unsuccessful patients included vitreous proliferative membrane formation, aphakia, giant hiatus and so on. CONCLUSIONS: Scleral condensation and external compression or cerclage of silica gel are commonly used and effective methods for the treatment of rhegmatogenous retinal detachment. The surgical indications and surgical procedures should be selected according to the specific conditions.