【摘要】  目的 探讨玻璃体视网膜手术（vitreoretinal surgery，VR）联合晶体切除或超声粉碎的效果。方法 对81例（81眼）应用晶体玻璃体视网膜联合手术（lenticular-vitreoretinal surgery，LVR）治疗的复杂性视网膜脱离进行回顾性分析。结果 解剖性成功者64眼（79.01%），功能性成功者45眼（55.56%）；手术成功率显著降低的原因是前部增殖性玻璃体视网膜病变（proliferatve vit-reoretinopathy，PVR）(成功率42.86%，P<0.01)和术中或术后眼内出血（成功率58.82%，P<0.025）。结论 LVR是治疗复杂性视网膜脱离的主要方法；显著影响手术预后的因素是前部PVR和术中或术后眼内出血。

【关键词】  晶体；玻璃体切割术；视网膜脱离

     Lenticular-vitreoretinal surgery for complicated retinal detachment

    CHEN Tao，LIU Wu.The Innermongolia Forestry General Hospital，Yakeshi 022150，China

    ［Abstract］  Objective  To study the efficacy of vitreoretinal (VR)surgery combined with lensectomy or ultrasonic fragmentation.Methods  Eight-one patients(eyes) with complicated retinal detachment treated with combined lenticular-vitreoretinal(L.VR) surgey were reviewed retrospectively.Results  Anatomic success was achieved in 64 eyes(79.01%)，and functional success in 45 eyes(55.56%).Anterior proliferative vitreoretinopathy (PVR) and intra-/post-ocular hemorrhage (IOH) significantly reduced the anatomic success rate to 42.86%(P<0.01) and 58.82%(P<0.025) respectively.Conclusion  LVR surgery plays an important therapeutic role in the treatment of complicated retinal detachment.The significant factors affecting the surgical outcome are anterior PVR and intra-/post-operative IOH.

    ［Key words］  lens;vitrectomy;retinal detachment

    玻璃体视网膜手术（vitreoretinal surgery，VR）目前已成为治疗复杂性视网膜脱离的主要手段［1］。当术眼晶体混浊或晶体的存在影响眼内手术操作时，常需联合晶体手术（切除或超声粉碎），称为晶体玻璃体视网膜联合手术（lenticular vitreoretinal surgery，LVR）。2002年1月～2004年10月我院对81例（81眼）复杂性视网膜脱离进行了LVR，现报告如下。

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