| 20G与23G玻璃体切割术临床应用比较 |
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| 引用本文： | 张欣,王卓实,王海波,卢山,何伟. 20G与23G玻璃体切割术临床应用比较[J]. 中国实用眼科杂志, 2010, 29(12): 471-472. DOI: 10.3760/cma.j.issn.1006-4443.2011.05.016 |
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| 作者姓名： | 张欣 王卓实 王海波 卢山 何伟 |
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| 作者单位： | 沈阳何氏眼科医院,沈阳,110034; |
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| 摘 要： | 目的 比较20G自闭式巩膜隧道切口玻璃体切割手术与23G玻璃体切割手术治疗黄斑前膜的临床疗效.方法 随机选取21(21只眼)例黄斑前膜患者,10例(10只眼)行20G自闭式巩膜隧道切口玻璃体切割手术,11(11只眼)例行23G玻璃体切割手术.结果 20G自闭式巩膜隧道切口玻璃体切割手术组切口自行闭合率为93.3%,23G玻璃体切割手术组切口自行闭合率为100%,但两组差异无统计学意义(P>0.05).结论 选取合适病例使用20G自闭式巩膜隧道切口玻璃体切割手术,也可以实现切口无需缝合,且操作简捷、术后反应轻、恢复快,无需增加额外操作设备,具备与23G相似的优点,在无条件实施23G玻璃体切割手术时,是理想的替代术式.
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| 关 键 词： | 巩膜隧道切口 玻璃体切割 |
The comparison of clinical application in 20G self-sealing sclerotomy versus 23G pars plana vitrectomy |
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| ZHANG Xin,WANG Zhuo-shi,WANG Hai-bo,LU Shan,HE Wei. The comparison of clinical application in 20G self-sealing sclerotomy versus 23G pars plana vitrectomy[J]. Chinese Journal of Practical Ophthalmology, 2010, 29(12): 471-472. DOI: 10.3760/cma.j.issn.1006-4443.2011.05.016 |
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| Authors: | ZHANG Xin WANG Zhuo-shi WANG Hai-bo LU Shan HE Wei |
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| Abstract: | Objective To compare the efficacy of 20 Gauge three-channel self-sealing sclerotomy pars plana vitrectomy and sutureless 23Gauge pars plana vitrectomy in macula hole surgery. Methods Twenty-one patients were divided into group A and B. Three-channel self-sealing sclerotomy and 23 Gauge pars plana vitrectomy were performed on patients in group A and B respectively. Results The closure rate of sclerotomies was 93.3% in group A; compared to 100% in group B. No significant difference was found between two groups(P >0.05). Conclusions Sutureless surgery can be performed by three-channel self-sealing sclerotomy 20G vitrectomy for appropriate cases with less complication, better recovery and no extra instrument. It might be an alternative substitute for 23Gauge pars plana vitrectomy. |
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| Keywords: | Self-sealing SclerotomyVitrectomy |
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