CAJ | 학술논문

目的探讨玻璃体切除联合连续褥式缝合术在治疗伴有大范围睫状体脱离(离断口范围≥180°)复杂眼外伤的临床疗效.方法将36例经B超及UBM检查存在大范围睫状体脱离伴有玻璃体视网膜病变的复杂眼外伤患者先进行晶状体玻璃体切除,再由巩膜表面进针进入玻璃体腔内连续褥式缝合睫状体组织.观察术后视力、眼压及睫状体复位情况并进行统计分析.结果术后随访3～30个月,平均(12.0±4.7)个月,术后视力较术前有明显改善(P＜0.05),眼压较术前显著提高(P＜0.05).睫状体复位成功率86.11％ (31/36).结论玻璃体切除联合连续褥式缝合术是治疗伴有大范围睫状体脱离(离断口范围≥180°)复杂眼外伤的安全有效手术方法之一.
목적 탐토파리체절제연합련속욕식봉합술재치료반유대범위첩상체탈리(리단구범위≥180°)복잡안외상적림상료효.방법 장36례경B초급UBM검사존재대범위첩상체탈리반유파리체시망막병변적복잡안외상환자선진행정상체파리체절제,재유공막표면진침진입파리체강내련속욕식봉합첩상체조직.관찰술후시력、안압급첩상체복위정황병진행통계분석.결과 술후수방3～30개월,평균(12.0±4.7)개월,술후시력교술전유명현개선(P＜0.05),안압교술전현저제고(P＜0.05).첩상체복위성공솔86.11％ (31/36).결론 파리체절제연합련속욕식봉합술시치료반유대범위첩상체탈리(리단구범위≥180°)복잡안외상적안전유효수술방법지일.
Objective To explore the clinical efficacy of vitrectomy combined with continuous mattress suture to treatment complicated ocular trauma with a wide range cyclodialysis (≥180°).Methods Thirty-six ocular trauma patients with a wide range cyclodialysis accompanied vitreoretinopathy examined by B-ultrasound and UBM were included,after lens vitrectomy,continuous mattress suture ciliary body tissue through the scleral surface into the vitreous cavity.Observed postoperative visual acuity,intraocular pressure,ciliary body reset and performed statistical analysis.Results The patients were followed up for 3-30 months (average 12.0±4.7 months).Postoperative visual acuity significantly improved compared with the preoperative (P ＜0.05),intraocular pressure significantly improved compared with the preoperative (P ＜0.05).Success rate of Ciliary body reset was 86.11％.Conclusions The extraction of vitrectomy combined with continuous mattress suture is one of safe and effective surgical method to treatment complicated ocular trauma with wide range cyclodialysis (≥ 180°)