筋膜下麻醉小梁切除术 |
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引用本文: | 李勇,肖耀廷.筋膜下麻醉小梁切除术[J].美中国际眼科杂志,2008(8):1677-1678. |
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作者姓名: | 李勇 肖耀廷 |
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作者单位: | 长宁区中心医院眼科,中国上海市200336 |
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摘 要: | 目的:探讨筋膜下麻醉行小梁切除术的有效性及安全性。方法:在连续58例(60眼)青光眼小梁切除术中分别应用表面麻醉、球后麻醉、筋膜下麻醉各20眼,观察麻醉效果、并发症情况。结果:表面麻醉组患者术中在上直肌牵引缝线、巩膜电凝、周边虹膜切除、结膜缝合时有不同程度痛感,筋膜下麻醉、球后麻醉组患者术中无明显痛感,筋膜下麻醉组1眼、球后麻醉组2眼术中出现一过性黑矇,球后麻醉组术中出现球后出血1眼,术后短暂性上睑下垂2眼。结论:小梁切除术采用筋膜下麻醉具有麻醉效果好、并发症少的优点,是理想麻醉方法。
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关 键 词: | 筋膜下 麻醉 小梁切除术 |
Trabeculectomy under sub-fascial anesthesia Y |
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Authors: | ong Li Yao-Ting Xiao |
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Institution: | (Department of Ophthalmology, Changning District Central Hospital, Shanghai 200336, China) |
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Abstract: | AIM : To evaluate the safety and efficiency of sub-fascial anesthesia for trabeculectomy. METHODS: Fifty-eight cases (60 eyes) underwent glaucoma trabeculectomy were randomly divided into 3 groups, topical anesthesia group, retrobulbar anesthesia group and subascial anesthesia group (20 eyes in each group). Pain during surgery and postoperative complications were analyzed. RESULTS: In topical anesthesia group, sense of pain was appear during superior rectus traction suturing in 20 eyes (100%), sclera coagulation in 20 eyes (100%), iridectomy in 3 eyes (15%), and conjunctival flaps suturing in 13 eyes (65%) . Patients did not feel pain during surgery in retrobulbar anesthesia group and sub-fascial anesthesia group. Retrobulbar bleeding presented in 1 eye, temporary ptosis in 2 eyes, and temporary vision lose in 2 eyes in retrobulbar anesthesia group. Temporary vision losing occurred in sub-fascial anesthesia group on 1 eye. CONCLUSION: Trabeculectomy under sub-fascial anesthesia is a safe and efficient method with less complication. |
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Keywords: | sub-fascial anesthesia trabeculectomy |
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