目的　探讨黄斑裂孔性视网膜脱离特点、手术方式及治愈关键。方法　 2 0 0 0年 1～ 12月共收治黄斑裂孔性视网膜脱离 193例 ,年龄 2 0～ 78岁 ,其中 30～ 6 0岁占大多数。男 :女 3:7。我们选择单纯气液交换术、环扎放液注气术、玻璃体切割注气术及环扎玻璃体切割注气术等手术方式。结果　总愈率达 93% ,术后随访 2～ 6月 ,180例治愈眼中 ,视力提高 138只眼 ,视力不变 4 2只眼。结论　黄斑裂孔性视网膜脱离 ,只要仔细检查 ,选择合适的手术方式封闭裂孔 ,是提高治愈率的关键 Objective To investigate the characteristics of macular hole retinal detachment, surgical approach and key to cure. Methods From January to December 2000, 193 cases of macular hole retinal detachment were treated, ranging in age from 20 to 78 years old, of which 30 to 60 years old accounted for the majority. Male: Female 3: 7. We choose a simple gas-liquid exchange surgery, cerclage aspiration, vitrectomy gas and cesarean section vitrectomy and other surgical methods. The results of the total cure rate of 93%, 2 to 6 months follow-up, 180 cases of cured eyes, vision increased 138 eyes, unchanged vision 42 eyes. Conclusion Macular hole retinal detachment, as long as careful examination, select the appropriate surgical methods to close the hole, is the key to improve the cure rate