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巩膜扣带元件的移除。原因及并发症。

Removal of scleral buckling elements. Causes and complications.

作者信息

Lindsey P S, Pierce L H, Welch R B

出版信息

Arch Ophthalmol. 1983 Apr;101(4):570-3. doi: 10.1001/archopht.1983.01040010570007.

DOI:10.1001/archopht.1983.01040010570007
PMID:6838415
Abstract

Fifty-three patients underwent removal of their scleral buckling elements in our operating rooms during a 25-year period. Of these, 18 patients suffered a retinal redetachment and two went on to phthisis. "Life-table" (survival) analysis showed that the risk of redetachment was 23% within the first 30 days after buckling element removal and 33% within 90 days. The cumulative risk of redetachment during a four-year period gradually increased to 47%. Factors that had a statistically significant association with redetachment included the degree of vitreous traction at the time of the original retinal detachment and the extent of the original detachment. Age, race, sex, preoperative condition, type of buckling element, and cause of buckling element removal did not have a statistically significant association with redetachment.

摘要

在25年期间,有53例患者在我们的手术室接受了巩膜扣带元件取出术。其中,18例患者发生视网膜再次脱离,2例发展为眼球痨。“生命表”(生存)分析显示,扣带元件取出后30天内再次脱离的风险为23%,90天内为33%。四年期间再次脱离的累积风险逐渐增加至47%。与再次脱离有统计学显著关联的因素包括初次视网膜脱离时的玻璃体牵引程度和初次脱离的范围。年龄、种族、性别、术前状况、扣带元件类型以及扣带元件取出的原因与再次脱离没有统计学显著关联。

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