| 经赤道部裂孔气液交换在玻璃体手术中的应用 |
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| 引用本文： | 李晓青,曾水清,彭清.经赤道部裂孔气液交换在玻璃体手术中的应用[J].山西医科大学学报,2008,39(9). |
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| 作者姓名： | 李晓青 曾水清 彭清 |
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| 作者单位： | 1. 华中科技大学同济医学院附属协和医院眼科,武汉,430022
2. 山西医科大学第一临床医学院眼科 |
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| 摘 要： | 目的 探讨玻璃体手术中用笛形针经赤道部裂孔引流视网膜下液的可行性及效果. 方法 对2006-05-2008-01在本院行玻璃体手术的64例64只眼伴有赤道部裂孔需行玻璃体切除的患眼作回顾性分析.其中合并严重增生性玻璃体视网膜病变27只眼,巨大裂孔性视网膜脱离2只眼(180°以上裂孔),合并脉络膜脱离5只眼,复发性视网膜脱离4只眼.手术方法包括经平坦部玻璃体切除,剥除增生膜,松解牵引,笛形针经赤道部裂孔引流视网膜下液,眼内激光光凝,硅油或C3F8填充.手术操作均在130°全视野镜下进行. 结果 除3例周边部裂孔、2例巨大裂孔及3例大范围视网膜切开患者外,其他56例均能经赤道部裂孔引流达到视网膜复位. 结论 在全视网膜镜下经赤道部裂孔气液交换能达到良好的视网膜复位的效果,避免术中行后极部视网膜造孔内引流或使用全氟化碳液体,简化了手术操作,同时也减轻了患者经济负担,具有一定的实用价值.
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| 关 键 词： | 玻璃体切割术 气流交换 视网膜脱离 |
Application of air fluid exchange through equatorial retinal tear in vitrectomy |
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| LI Xiao-qing,ZENG Shui-qing,PENG Qing.Application of air fluid exchange through equatorial retinal tear in vitrectomy[J].Journal of Shanxi Medical University,2008,39(9). |
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| Authors: | LI Xiao-qing ZENG Shui-qing PENG Qing |
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| Institution: | Dept of Ophthalmology;Union Hospital;Huazhong University of Science and Technology;Wuhan 430022;China;2Dept of Ophthalmology;First Clinical Medical College; |
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| Abstract: | Objective To investigate the possibility of draining subretinal fluid through equatorial retinal tear by flute needle during vitrectomy and its clinical effect. Methods Sixty-four vitrectomized eyes of 64 patients with equatorial retinal tear were analyzed retrospectively,of which,27 cases had severe proliferative vitreoretinopathy,2 cases had giant rhegmatogenous retinal detachment(more than 180 degree),5 cases had choroidal detachment,4 cases had retinal redetachment.All surgical procedures were performed... |
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| Keywords: | vitrectomy fluid air exchange retinal detachment |
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