国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
6期
1159-1160
,共2页
增生性糖尿病视网膜病变%玻璃体切割术%23 G
增生性糖尿病視網膜病變%玻璃體切割術%23 G
증생성당뇨병시망막병변%파리체절할술%23 G
proliferative diabetic retinopathy%vitrectomy%23-gauge
目的：探讨在晚期增生性糖尿病视网膜病变( advanced proliferative diabetic retinopathy,PDR)20G玻璃体切割术中是否可应用23 G玻璃体切割头代替眼内膜剪。<br> 方法：前瞻性非对照病例研究。对27例27眼经眼底检查和B超确诊为糖尿病视网膜病变Ⅵ期患者施行20 G玻璃体切割术,术中以23 G玻璃体切割头代替眼内膜剪清除新生血管膜,术毕完成全视网膜光凝,17眼灌注液填充,6眼填充12% C3 F8,4眼填充硅油。随访3mo。分析患者玻璃体手术起止时间、术中发生的医源性裂孔数、手术中视网膜出血需电凝的次数,最佳矫正视力( BCVA )、视网膜复位情况。<br> 结果：手术时间为35~120(平均79.19±29.82) min；术中发生医源性裂孔共2例(7%)。术后随访3mo,BCVA>0.1者9眼,0.05~0.1者10眼,<0.05者8眼。视网膜在位25眼(93%),2眼术后硅油下视网膜仍未完全复位。<br> 结论：在20 G玻璃体切割术治疗晚期PDR时,完全可以用23 G玻璃体切割头代替眼内膜剪清除新生血管膜。
目的：探討在晚期增生性糖尿病視網膜病變( advanced proliferative diabetic retinopathy,PDR)20G玻璃體切割術中是否可應用23 G玻璃體切割頭代替眼內膜剪。<br> 方法：前瞻性非對照病例研究。對27例27眼經眼底檢查和B超確診為糖尿病視網膜病變Ⅵ期患者施行20 G玻璃體切割術,術中以23 G玻璃體切割頭代替眼內膜剪清除新生血管膜,術畢完成全視網膜光凝,17眼灌註液填充,6眼填充12% C3 F8,4眼填充硅油。隨訪3mo。分析患者玻璃體手術起止時間、術中髮生的醫源性裂孔數、手術中視網膜齣血需電凝的次數,最佳矯正視力( BCVA )、視網膜複位情況。<br> 結果：手術時間為35~120(平均79.19±29.82) min；術中髮生醫源性裂孔共2例(7%)。術後隨訪3mo,BCVA>0.1者9眼,0.05~0.1者10眼,<0.05者8眼。視網膜在位25眼(93%),2眼術後硅油下視網膜仍未完全複位。<br> 結論：在20 G玻璃體切割術治療晚期PDR時,完全可以用23 G玻璃體切割頭代替眼內膜剪清除新生血管膜。
목적：탐토재만기증생성당뇨병시망막병변( advanced proliferative diabetic retinopathy,PDR)20G파리체절할술중시부가응용23 G파리체절할두대체안내막전。<br> 방법：전첨성비대조병례연구。대27례27안경안저검사화B초학진위당뇨병시망막병변Ⅵ기환자시행20 G파리체절할술,술중이23 G파리체절할두대체안내막전청제신생혈관막,술필완성전시망막광응,17안관주액전충,6안전충12% C3 F8,4안전충규유。수방3mo。분석환자파리체수술기지시간、술중발생적의원성렬공수、수술중시망막출혈수전응적차수,최가교정시력( BCVA )、시망막복위정황。<br> 결과：수술시간위35~120(평균79.19±29.82) min；술중발생의원성렬공공2례(7%)。술후수방3mo,BCVA>0.1자9안,0.05~0.1자10안,<0.05자8안。시망막재위25안(93%),2안술후규유하시망막잉미완전복위。<br> 결론：재20 G파리체절할술치료만기PDR시,완전가이용23 G파리체절할두대체안내막전청제신생혈관막。
AIM: To determine whether the 23 - gauge ( 23G ) vitrecomy cutter could replace scissors in conventional 20-gauge ( 20G ) pars plana vitrectomy for treating severe proliferative diabetic retinopathy ( PDR) . <br> METHODS:Non-comparative interventional case series. Totally 27 eyes of 27 patients with PDR stageⅥ confirmed by funduscopy and B-ultrasound scan were enrolled. They underwent 20G vitrectomy, in which 23G vitrectomy cutter replaced scissors to remove neuvascular membrane. All 27 eyes received complete panretinal photocoagulation, 17 eyes received no tamponade, 6 eyes were 12% C3 F8 tamponade, 4 eyes were filled with silicone oil. The follow up time was 3mo. The operation duration time, iatrogenic retinal tear and retinal bleeding need electric coagulation, best corrected visual acuity ( BCVA) , retinal reattachment were analyzed. <br> RESULTS: The operative time was 35- 120 ( average 79-19±29. 82) min; intraoperative iatrogenic retinal breaks were detected in 2 eyes (7%). At the end of 3mo follow up, BCVA>0. 1 were in 9 eyes, from 0. 05-0. 1 in 10 eyes,<0. 05 in 8 eyes. Retinal reattached in 25 eyes (93%), still detached in other 2 eyes with silicone oil. <br> CONCLUSION: The 23G vitrectomy cutter could replace scissors in conventional 20G pars plana vitrectomy for treating severe PDR.
