三面镜联合显微镜直视下裂孔定位的视网膜脱离手术.pdfVIP

·论著：经验体会· 三面镜联合显微镜直视下裂孔定位 的视网膜脱离手术 庄静宜陈焓 【摘要】 目的探讨术前三面镜裂孑L定位联合显微镜直视下裂孑L定位法在视网膜脱离外路显微手 术中运用的临床疗效观察。方法回顾性分析2010—01／2011-05因孔源性视网膜脱离而做视网膜脱离外 路显微手术的患者45例45只眼。术前用三面镜检查确定视网膜裂孔位置和距离，作为手术中指导裂 孔定位、术中放液和冷冻部位的的依据，放液后在显微镜下更精确的定位冷冻裂孔并3600常规检查周 边部视网膜。硅胶局部垫压，随访6～18个月。结果在45例45只眼中，一次手术视网膜完全复位42 只眼(93．3％1；矫正视力在o．3以上者31只眼，0．3以下14只眼；最终视力提高40只眼，不变3只眼， 下降2只眼；无严重手术并发症；显微镜直视下裂孔定位准确不易遗漏，冷凝反应清晰可见。结论术 前三面镜裂孔定位法联合术中显微镜下裂孔定位更准确，操作简单，疗效可靠。 【关键词】三面镜；显微镜；视网膜脱离；裂孔定位 lensand TheRetinaldetachment retinalholeslocationunderthreemirror operationby microscope lensand ZHANG Han． microscope Jing-yi，CHEN 劢eFirstAftiliated ofXiaMen Medical University Hospital University；Fujian TeachingHospital． Xia Men，361003，Chhla Correspondingauthor：zhuangringyi，Email：xmdyzhuangjy@sina．corn theclinical ofthreemirrorlenscombinedwithmicro- 【Abstract】ObjectiveDiscussing efficacy inlocalizationofretinalholesinRetinaldetachment FromOctober2010 scope operation．Methods to 201 enrolledinthis loca— Mayl，retinaldetachment(RD)45patients(45eyes)werestudy，The threemirrorlens asthe tionsanddistanceofretinalholeswereestimated by preoperativelyguide forlocalizationofretmal ofsubretinalfluidand in drain— holes，drainage freezingoperations．After more under routineexamination holeswerelocated age，the preciselysurgicalmicroscope；360degree was toobservetheretinaofdenaturation solidsilicone laced performed