对比分析巩膜扣带术与玻璃体切割术治疗孔源性视网膜脱离的疗效及术后并发症

doi:10.3969/j.issn.1006-6233.2021.12.020

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Abstract Objective: To observe and compare the clinical efficacy and postoperative complications of scleral buckling (SB) and vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD). Methods: The clinical data of 93 patients (93 eyes) with RRD who underwent surgery in our hospital from June 2019 to January 2021 were retrospectively selected, among which 41 patients (41 eyes) were treated with SB as SB group and the remaining 52 patients (52 eyes) were treated with PPV as PPV group. The patients were followed up for 3 months, and the retinal reattachment, BCVA and complications were observed. Results: There were statistically significant differences in the number, location, type, retinal detachment range and special retinal detachment between the two groups (P<0.05). Three months after surgery, the good retinal reattachment rate in PPV group was 90.38%, slightly higher than that in SB group (78.05%), but there was no statistical significance between the two groups (P>0.05). There was no statistical significance in BCVA difference between PPV group and SB group before and after treatment (P>0.05). The complication rate was 42.31% in PPV group and 11.90% in SB group, with statistical significance (P<0.05). Conclusion: There is no significant difference in clinical efficacy between SB and PPV in the treatment of RRD patients. Both surgical methods have their own advantages and disadvantages, and appropriate choice should be made according to the condition. For complex cases, PPV should be selected; SB should be preferred for special groups such as the young or the one-eyed.

Key words： Scleral buckling Vitrectomy Rhegmatogenous retinal detachment

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2021.12.020 OR http://www.hbyxzzs.cn/EN/Y2021/V27/I12/2027

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