CAJ | 학술논문

目的探讨显微联合手术摘出睫状体部非磁性异物的手术方法及效果.方法行显微玻璃体切除术联合超声乳化术摘出术睫状体部非磁性异物38例(38眼).结果 38眼均为术中一次摘出成功,经角膜缘切口摘出者25眼,经巩膜切口摘出者13眼.术后视力2眼光感～手动,2眼指数,11眼0.02～0.08,19眼0.1～0.3,4眼优于0.3,优于术前视力,差异有统计学意义(x2=13.277,P＜0.05).术后无严重并发症发生.术前19眼合并视网膜脱离.随访4～43个月有17眼(89.5％)视网膜保持复位.结论采用显微联合手术能顺利摘出睫状体部的非磁性异物,降低了眼内组织的损害,使患者最大限度地恢复视功能.
목적 탐토현미연합수술적출첩상체부비자성이물적수술방법급효과.방법 행현미파리체절제술연합초성유화술적출술첩상체부비자성이물38례(38안).결과 38안균위술중일차적출성공,경각막연절구적출자25안,경공막절구적출자13안.술후시력2안광감～수동,2안지수,11안0.02～0.08,19안0.1～0.3,4안우우0.3,우우술전시력,차이유통계학의의(x2=13.277,P＜0.05).술후무엄중병발증발생.술전19안합병시망막탈리.수방4～43개월유17안(89.5％)시망막보지복위.결론 채용현미연합수술능순리적출첩상체부적비자성이물,강저료안내조직적손해,사환자최대한도지회복시공능.
Objective To investigate the surgical technique and its effects of extraction of nonmagnetic foreign body from the ciliary region.Methods A clinical retrospective study of 38 consecutive patients (38 eyes) treated for ocular penetrating trauma was conducted since March of 2006 to June of 2009.All the patients were done with combined microsurgery in extraction of nonmagnetic foreign body from the ciliarybody.Results All the nonmagnetic foreign bodies from ciliary of 38 eyes were successfully extracted at once attempt,the achivement ratio was 100％.25 cases were extracted via limbus,while 13 cases via sclera incision.Postoperative visual acuity were:4 eye above 0.3,19 eyes 0.1～0.3,11 eyes 0.02～0.08,2eyes finger counting,2 eyes hand movement.There was significant difference between pre and post operative visual acuity (x2 =13.277,P＜0.05).No severe complication was occured and 17/19 (89.5％) eyes got reattachment during the follow up.Conclusion In this nonrandomized study,the combined microsurgery can extract the foreign body from ciliary body successfully.The wounded eyes could be treated without delay,and the good visual results could be obtained in eyes almost undergoing prompt foreign body removal,especially using the technique of combined microsurgery.