对我科1982年3月～1992年3月10年间连续施行视网膜脱离手术的171眼进行了总结,其中经脱水脐带巩膜层间填压85眼,硅胶巩膜外填压43眼,巩膜环扎20跟,其它手术(包括脐带巩膜外填压,自体皮肤巩膜内、外填压,异体巩膜巩膜内填压等)共23跟。经统计学处理,前3种手术疗效差异无显著性(x~2=3.90.P>0.05)。手术失败与玻璃体牵引、裂孔遗漏以及手术前未查到明确裂孔等因素有关。 A total of 171 eyes underwent retinal detachment surgery from March 1982 to March 1992 were retrospectively reviewed. Among them, 85 eyes underwent scleral buckling with dehydration, 43 eyes with silicone sclera and 43 eyes with scleral buckling With other operations (including the umbilical scleral fill pressure, the autologous skin sclera, external pressure, allogeneic sclera filling) a total of 23 with. After statistical analysis, there was no significant difference in the efficacy of the first three kinds of surgery (x ~ 2 = 3.90.P> 0.05). Failure of the surgery and vitreous traction, the absence of holes and surgery did not find a clear hole and other factors.