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应用B型超声波检查65例需做玻璃体切割手术的患者,明确显示出玻璃体视网膜病变的形态和位置,其中玻璃体出血和/或严重混浊18例(28%),机化膜或机化带与球壁粘连25例(38%),伴有玻璃体后脱离10例(15%),伴有牵拉性视网膜脱离12例(19%)。手术后59例视力有不同程度提高,无增殖性改变者手术效果好,有增殖性改变或与球壁粘连者手术效果较差,伴有视网膜脱离者预后更差。超声波检查对玻璃体切割手术适应证选择。手术方案制定和手术效果估计有着重要的应用价值。
Sixty-five patients who underwent vitrectomy with B-mode ultrasonography clearly showed the morphology and location of vitreoretinal lesions, including vitreous hemorrhage and / or severe ophthalmopathy in 18 patients (28% There were 25 cases (38%) of wall adhesion, 10 cases (15%) with posterior vitreous detachment, and 12 cases (19%) with traction retinal detachment. 59 cases of postoperative visual acuity improved to varying degrees, no proliferative changes were good surgical results, with proliferative changes or poor adhesion with the ball wall surgery, retinal detachment associated with a worse prognosis. Ultrasound examination of vitrectomy indications for choice. Surgery program development and evaluation of the effect of surgery has an important application value.