目的：观察非后极部多发裂孔性视网膜脱离的临床特征，探讨玻璃体切割术和巩膜扣带术的疗效。

方法：回顾性分析2017-06/2018-08在我院眼科住院行手术治疗的非后极部多发裂孔性视网膜脱离患者40例40眼，按手术方式不同分为玻璃体切割术(PPV)组(18眼)和巩膜扣带术(SB)组(22眼)。术后随访3～6mo，观察两组患者的手术疗效。

结果：至末次随访，PPV组患者视网膜复位率为100%(18/18)，去除硅油填充眼后视网膜复位率为56%(10/18)。SB组患者视网膜复位率为86%(19/22)，无硅油填充眼。两组患者视网膜复位率比较(包括硅油填充眼)，差异无统计学意义(P>0.05)，去除硅油填充眼后视网膜复位率比较有差异(P<0.05)。

结论：非后极部多发裂孔性视网膜脱离多为视网膜广泛变性或合并玻璃体牵拉引起。复杂病例宜选择玻璃体切割术，但需多次手术，而巩膜扣带术远期效果稳定。两种手术方法各有利弊，应综合考虑，不应盲目扩大玻璃体切割术适应证。对于年轻或独眼等特殊群体，如有可能应尽可能优先选择巩膜扣带术。

METHODS: A retrospective clinical comparative study. Totally 40 eyes of 40 patients with retinal multiple-tear detachment were included in the study. According to surgical methods, the patients were divided into vitrectomy group(PPV group, group A, 18 eyes)and scleral buckling group(SB group, group B, 22 eyes). All patients were followed up for 3 to 6mo to observe the postoperative outcomes of the two groups.

RESULTS: At the end of follow-up, the rate of retinal reattachment in the A group was 100%(18/18). Retinal reattachment rate after removal of silicone oil-filled eyes was 56%(10/18).The rate of complete retinal reattachment in the B group was 86%(19/22), respectively. The difference was not statistically significant in the final retinal reattachment rate comparison(including silicone oil filled eyes)(P>0.05). There was a statistically significant difference in retinal reattachment rate after removal of silicone oil-filled eyes(P<0.05).

CONCLUSION: Non-posterior retinal multiple-tear detachment are mostly caused by extensive retinal degeneration or combined with vitreous traction. Vitrectomy should be chosen in complex cases, but multiple operations are required, while the long-term result of scleral buckling is stable. The choice between vitrectomy and scleral buckling needs comprehensive consideration, and it should be avoided to enlarge the indications for vitrectomy blindly. However, scleral buckling should be preferred if possible, for younger or special groups such as those with one eye.