CAJ | 학술논문

目的探讨20G玻璃体切割术(简称玻切)结膜微创切口技术临床应用的疗效.方法回顾性分析76例76只眼应用20G结膜微创切口技术行玻切术治疗玻璃体视网膜疾病患者的临床资料.手术切口分为结膜微创切口组及常规玻切组.结膜微创切口组手术结束时不缝合球结膜切口及灌注系统巩膜穿刺口,仅缝合玻切头及光导纤维头巩膜切口.而常规玻切组则用8-0可吸收缝线8字缝合玻切头、光导纤维、灌注系统巩膜切口及对位缝合球结膜切口.术后平均随访2-4月.观察患者术后结膜充血及切口愈合情况、术后眼压情况、手术中操作时间.结果结膜微切口组患者平均手术时间为49min,常规玻切组平均61min,差异具有统计学意义(P＜0.05).结膜微切口组术后14d及28d复查时可见患者手术区球结膜表面光滑,充血及水肿已消退,巩膜切口闭合良好,仅见一淡灰色斑点.结膜微切口组和常规玻切组术后眼压相比,差异无统计学意义(P＞0.05).结论 20G玻璃体切割术结膜微创切口术具有手术时间短、结膜伤口愈合快、并发症少等优点.
목적 탐토20G파리체절할술(간칭파절)결막미창절구기술림상응용적료효.방법 회고성분석76례76지안응용20G결막미창절구기술행파절술치료파리체시망막질병환자적림상자료.수술절구분위결막미창절구조급상규파절조.결막미창절구조수술결속시불봉합구결막절구급관주계통공막천자구,부봉합파절두급광도섬유두공막절구.이상규파절조칙용8-0가흡수봉선8자봉합파절두、광도섬유、관주계통공막절구급대위봉합구결막절구.술후평균수방2-4월.관찰환자술후결막충혈급절구유합정황、술후안압정황、수술중조작시간.결과 결막미절구조환자평균수술시간위49min,상규파절조평균61min,차이구유통계학의의(P＜0.05).결막미절구조술후14d급28d복사시가견환자수술구구결막표면광활,충혈급수종이소퇴,공막절구폐합량호,부견일담회색반점.결막미절구조화상규파절조술후안압상비,차이무통계학의의(P＞0.05).결론 20G파리체절할술결막미창절구술구유수술시간단、결막상구유합쾌、병발증소등우점.
Objective To evaluate the curative effect of clinical application of 20-gauge (20G) vitrectomy conjunctiva micro-incision technique.Methods The clinical data of 76 patients with vitreous retinal disease patients treated by the 20G vitrectomy conjunctiva micro-incision technique were retrospectively analyzed.Operative incision was divided into conjunctiva micro-incision group and convention vitrectomy group.When the operation was over-peripheral retina,only the incision for vitrectomy and light probe in conjunctiva micro-incision was sutured.All patients were followed up by 2-4months.Incision for bulbar conjunctiva and sclerotic was sutured in conventional vitrectomy.Conjunctival congestion,wound healing,intra-ocular tension,and operation running time were observed after operation.Results The mean operation time needed in conjunctiva micro-incision groups was 49minutes,while that in the conventional group was 61 minutes.There was statistical significance in the mean time of operation between two gronps.Bulbar conjunctiva superficies was smooth,sclerotic incision close was well,congestion and edema vanished in conjunctiva micro-incision group,while there was no significant difference in intra-ocular tension after operation between two groups.Conclusions Vitrectomy incision by using conjunctiva micro-incision has many advantages such as short operation time,micro-invasion and rapid recovery.It is worthy to be popularized.