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目的 探讨双环扎手术在有过手术史的复发性视网膜脱离的临床效果。方法 回顾分析自 1996年 1月至 1999年 3月进行双环扎手术或双环扎结合玻璃体手术的 10 4例 10 4眼。其中 6 8眼有一次环扎手术史 ,16眼有一次环扎 +玻璃体切除手术史 ,2 0眼有两次以上包括环扎的视网膜脱离手术史。结果 随访 6至 18个月 ,手术成功率 91.35 % ;其中前部玻璃体视网膜病变的 11眼中 9眼视网膜复位 ,成功率为 81.82 % ;视网膜嵌顿和固定皱襞的 16眼中 13眼视网膜复位 ,成功率 81.2 5 % ;视网膜新裂孔的 77眼中 73眼视网膜复位 ,成功率 94.81%。结论 对于部分有过手术史的复发性视网膜脱离 ,双环扎手术是一种简便有效的手术方法。
Objective To investigate the clinical effect of double cerclage surgery in the history of recurrent retinal detachment. Methods A total of 104 patients (104 eyes) underwent double cerclage surgery or double cerclage surgery combined with vitreous surgery from January 1996 to March 1999 were retrospectively analyzed. Among them, 68 had a history of cerclage surgery, 16 had a history of cerclage + vitrectomy, and 20 had a history of cerclage retinal detachment more than twice. Results The follow-up ranged from 6 to 18 months. The success rate of surgery was 91.35%. Among them, 9 of 11 eyes of anterior vitreoretinopathy were repaired with a success rate of 81.82%. Retinal reattachment was performed in 13 eyes of retinal incarceration and fixed folds, and the success rate 81.2%; retinal neurectomy in 77 eyes 73 cases of retinal reattachment, the success rate of 94.81%. Conclusion For some cases of recurrent retinal detachment history, double cerclage surgery is a simple and effective surgical method.