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目的 探讨不同手术方法对马凡综合征并发视网膜脱离 (RD)的疗效。方法 对 30例 35眼马凡综合症并发RD病人行手术治疗 ,手术方法分 4种。术后观察 3月 ,进行效果统计分析。结果 术后 3月视网膜复位率为 2 5 / 35 (71 4% ) ,其中PVRB～C1-2 级、PVRC3 级、PVRD级视网膜复位率分别为 6 / 8(75 % )、2 / 4(5 0 % )、17/ 2 7(73 9% )。结论 环扎、加压术治疗马凡综合征并发PVRB～C1～ 2 级RD为有效方法 ,PVRD级RD玻璃体手术合并硅油填充疗效好。根据患眼情况选择合适的手术方法至关重要。
Objective To investigate the curative effect of different surgical methods on Marfan syndrome with retinal detachment (RD). Methods Thirty patients (35 eyes) with Marfan syndrome complicated with RD underwent surgical treatment. There were 4 surgical procedures. Observed in March after surgery, statistical analysis of the effect. Results The retinal reattachment rate was 35% (71.4%) at 3 months postoperatively. The rate of PVRB ~ C1-2, PVRC3 and PVRD retina were 6/8 (75%), 2/4 0%), 17/2 7 (73 9%). Conclusions Cerclage and compression surgery are effective in treating Marfan syndrome complicated with PVRB ~ C1 ~ 2 RD, and PVRD grade RD vitrectomy combined with silicone oil filling is effective. According to the situation of patients choose the appropriate surgical approach is crucial.