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孔源性视网膜脱离手术治疗后复发性视网膜脱离的危险因素：一项回顾性研究。

Risk Factors of Recurrent Retinal Detachment Following Surgical Treatment for Rhegmatogenous Retinal Detachment: A Retrospective Study.

作者信息

Jia Li-Yun, Sun Yan-Xia, Zhang Yong-Peng, Ma Kai

机构信息

Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2020 Dec 30;13:3165-3171. doi: 10.2147/RMHP.S288777. eCollection 2020.

DOI:10.2147/RMHP.S288777
PMID:33408538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7779298/
Abstract

OBJECTIVE

To identify potential risk factors for recurrent retinal detachment after surgical treatment for rhegmatogenous retinal detachment with choroidal detachment (RRD-CD) in a Chinese population.

METHODS

A total of 1212 patients with RRD-CD admitted to Beijing Tongren Hospital from 2004 to 2018 were reviewed retrospectively. The rate of recurrent retinal detachment was calculated, and risk factors were analyzed by logistic regression analysis.

RESULTS

The average age of the patients was 48.51 years, 760 patients (62.7%) were male, and 630 patients (52.0%) had right eye disease. The recurrence rate in the same eye was 21.3%. The incidence of recurrence retinal detachment was higher in patients who were male, middle age, and with poor preoperative vision, longer axial length, and scleral buckling. Recurrence usually occurred 3 months after surgery.

CONCLUSION

Male, middle age, longer axial length, and scleral buckling could be risk factors for recurrent retinal detachment following surgical treatment in patients with RRD-CD.

摘要

目的

确定中国人群中孔源性视网膜脱离合并脉络膜脱离（RRD-CD）手术治疗后视网膜脱离复发的潜在危险因素。

方法

回顾性分析2004年至2018年在北京同仁医院收治的1212例RRD-CD患者。计算视网膜脱离复发率，并通过逻辑回归分析危险因素。

结果

患者平均年龄48.51岁，男性760例（62.7%），右眼患病630例（52.0%）。同眼复发率为21.3%。男性、中年、术前视力差、眼轴长和巩膜扣带术患者视网膜脱离复发率较高。复发通常发生在术后3个月。

结论

男性、中年、眼轴长和巩膜扣带术可能是RRD-CD患者手术治疗后视网膜脱离复发的危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcd/7779298/c91ee7991ec7/RMHP-13-3165-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcd/7779298/03cc18c762fe/RMHP-13-3165-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcd/7779298/c91ee7991ec7/RMHP-13-3165-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcd/7779298/03cc18c762fe/RMHP-13-3165-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcd/7779298/c91ee7991ec7/RMHP-13-3165-g0002.jpg

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Surgical outcomes of preoperative steroid for rhegmatogenous retinal detachment with associated choroidal detachment.术前类固醇治疗合并脉络膜脱离的孔源性视网膜脱离的手术效果。
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