| 表面麻醉下月形隧道刀行小梁切除术治疗青光眼（41例报道） |
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| 引用本文： | 王克华,张春华,王光洁.表面麻醉下月形隧道刀行小梁切除术治疗青光眼（41例报道）[J].第一军医大学学报,2003,23(6):560-561. |
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| 作者姓名： | 王克华 张春华 王光洁 |
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| 作者单位： | 解放军第106医院眼科,山东济南250022 |
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| 摘 要： | 目的 探讨改良青光眼小梁切除术。方法 应用表面麻醉联合月形隧道刀制作巩膜瓣，对41例48眼青光眼患者施行小梁切除术。结果 麻醉成功率100％。每眼术程平均17min，较既往常规手术缩短37％。术后眼压控制均获满意效果，无术中、术后并发症。结论 表面麻醉下应用月形隧道刀可以安全、快速、有效地完成小梁切除术。
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| 关 键 词： | 表面麻醉 月形隧道刀 小梁切除术 治疗 青光眼 |
Trabeculectomy with crescent tunnel knife under surface anesthesia for glaucoma: report of 41 cases] |
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| Ke-hua Wang,Chun-hua Zhang,Guang-jie Wang.Trabeculectomy with crescent tunnel knife under surface anesthesia for glaucoma: report of 41 cases][J].Journal of First Military Medical University,2003,23(6):560-561. |
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| Authors: | Ke-hua Wang Chun-hua Zhang Guang-jie Wang |
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| Institution: | Department of Ophthalmology, 106 Hospital of PLA, Jinan 250022, China. wkh.kk@163.com |
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| Abstract: | This study aims to modify the surgical procedure of conventional trabeculectomy for glaucoma by incorporating scleral flap preparation with crescent tunnel knife under surface anesthesia. A total of 41 patients (48 eyes) received this modified surgical procedure, with the anesthesia being successfully implemented in all the cases. The time consumption by the operation on each eye averaged 17 min, shortened by 37% compared with the conventional procedure. The postoperative intraocular pressure was well under control without any complications arising either during or after the operation, showing the safety, rapidness and efficacy of this surgical approach in the treatment of glaucoma. |
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