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目的评价硅油填充治疗儿童复杂性视网膜脱离的效果及其影响因素。方法回顾分析１９９３年６月～１９９７年９月行玻璃体切除联合硅油填充术治疗的１４岁以下儿童复杂性视网膜脱离３４例３６只眼术后随访３～２１个月的临床资料。结果视网膜完全复位１９只眼，占５２．７％；限局脱离１０只眼，占２７．８％；完全脱离６只眼，占１６．７％，１只眼眼底不清，占２．８％。术后视力０．０５以下者１２只眼，占３３．３％；０．０５～０．２者２０只眼，占５５．６％；不会查视力者４只眼，占１１．１％。结论硅油填充是治疗儿童复杂性视网膜脱离的有效方法，术后增生性玻璃体视网膜病变（ｐｒｏｌｉｆｅｒａｔｉｖｅｖｉｔｒｅｏｒｅｔｉｎｏｐａｔｈｙ，ＰＶＲ）的复发和前ＰＶＲ的发生是手术失败的主要原因
Objective To evaluate the effect and influencing factors of silicone oil-filled pediatric complex retinal detachment. Methods The clinical data of 34 patients with complicated retinal detachment who underwent vitrectomy combined with silicone oil filling in children under 14 years old from June 1993 to September 1997 were retrospectively reviewed. The clinical data of 36 eyes were followed up for 3 to 21 months. Results The retina was fully resected in 19 eyes, accounting for 52.7% of the total. Retinal detachment was observed in 10 eyes, accounting for 27.8%. Complete detachment in 6 eyes, accounting for 16.7%. One eye was unclear, accounting for 2.8% . Postoperative visual acuity of less than 0.05 in 12 eyes, accounting for 33.3%; 0.05 ~ 0.2 in 20 eyes, accounting for 55.6%; not looking in those with visual acuity in 4 eyes, accounting for 11.1% . Conclusion Silicone oil filling is an effective method to treat children complicated retinal detachment. The recurrence of proliferative vitreoretinopathy (PVR) and the occurrence of anterior PVR are the main reasons for the failure of surgery