中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2008年
12期
1386-1387
,共2页
孟瑞华%白海青%尹晓涛%王云霄%姚琳
孟瑞華%白海青%尹曉濤%王雲霄%姚琳
맹서화%백해청%윤효도%왕운소%요림
气囊%孔源性视网膜脱离
氣囊%孔源性視網膜脫離
기낭%공원성시망막탈리
Balloon%Rhegmatogenous retinal detachment
目的 介绍一种治疗视网膜脱离的简易气囊扣带术.方法 选择5例患者实施气囊扣带术.气囊经球结膜切口插入视网膜裂孔相应部位的球结膜下.扩张气囊,产生顶压效果,促使视网膜下液吸收.术后1~2d在视网膜裂孔周围行眼底激光光凝封闭裂孔.5~7d后取出气囊导管.结果 4例患者一次手术成功,1例因新发生的视网膜裂孔再次脱离,施行传统的巩膜扣带术成功复位.所有病例随访一年以上未发生视网膜的再次脱离.结论 对于特定的孔源性视网膜脱离,气囊扣带术相对于传统的巩膜扣带术而言是简易有效地治疗手段,值得尝试推广.
目的 介紹一種治療視網膜脫離的簡易氣囊釦帶術.方法 選擇5例患者實施氣囊釦帶術.氣囊經毬結膜切口插入視網膜裂孔相應部位的毬結膜下.擴張氣囊,產生頂壓效果,促使視網膜下液吸收.術後1~2d在視網膜裂孔週圍行眼底激光光凝封閉裂孔.5~7d後取齣氣囊導管.結果 4例患者一次手術成功,1例因新髮生的視網膜裂孔再次脫離,施行傳統的鞏膜釦帶術成功複位.所有病例隨訪一年以上未髮生視網膜的再次脫離.結論 對于特定的孔源性視網膜脫離,氣囊釦帶術相對于傳統的鞏膜釦帶術而言是簡易有效地治療手段,值得嘗試推廣.
목적 개소일충치료시망막탈리적간역기낭구대술.방법 선택5례환자실시기낭구대술.기낭경구결막절구삽입시망막렬공상응부위적구결막하.확장기낭,산생정압효과,촉사시망막하액흡수.술후1~2d재시망막렬공주위행안저격광광응봉폐렬공.5~7d후취출기낭도관.결과 4례환자일차수술성공,1례인신발생적시망막렬공재차탈리,시행전통적공막구대술성공복위.소유병례수방일년이상미발생시망막적재차탈리.결론 대우특정적공원성시망막탈리,기낭구대술상대우전통적공막구대술이언시간역유효지치료수단,치득상시추엄.
Objective To introduce an operation for retinal detachments that uses a balloon-tipped catheter as the buckling device.Method The balloon is inserted into Tenon's space through a small incision in the conjunctiva and is right beneath the retinal break.Expansion of the balloon produces a buckling effect that causes the subretinal fluid to absorb.Permanent attachment is obtained by laser coagulation around the break af-ter the retina has reattached 1~2 days after the insertion of the balloon.The balloon is withdrawn after 5~7 days. The balloon operation has been used in 5 patients.Result Initial complete retinal flattening was achieved in 4 eyes.Redetachment occurred in one eye which was due to a new retinal hole.Conventional sclerai buckling techniques were used in that case.No retina redetached during a follow-up of more than 1 year.Conclusion Balloon buckling is an effective alternative to conventional techniques in the management of selected retinal de-tachments.