临床眼科杂志
臨床眼科雜誌
림상안과잡지
JOURNAL OF CLINICAL OPHTHALMOLOGY
2014年
5期
406-408,409
,共4页
硅油取出术%23G免缝合切口%套管针%视网膜脱离%玻璃体切除
硅油取齣術%23G免縫閤切口%套管針%視網膜脫離%玻璃體切除
규유취출술%23G면봉합절구%투관침%시망막탈리%파리체절제
Silicone oil removal%23G sutureless incision%18G tocar%Retinal detachment%vitrectomy
目的:探讨标准三通道下23G免缝合切口联合18G套管针硅油取出术的临床疗效。方法对84例(87只眼)有晶状体眼行单纯硅油取出术,其中标准三通道下23G免缝合切口联合18G套针硅油取出术(简称23G组)43例(45只眼),传统20G缝合切口硅油取出术(简称20G组)41例(42只眼),记录两组手术时间,术后随访5~10个月,平均(8.5±2.5)个月,观察两组术后视力恢复、眼压变化和并发症情况,对相关记录进行统计分析比较。结果23G组平均手术时间(16.65±0.66)min,显著性低于20G组(21.77±0.84)min,有统计学意义( P<0.01)。术后两组最佳矫正视力相比较,无显著性差异( P >0.05)。术后1 d 23G组眼压显著性低于20G组( P<0.05),术后1周、1个月23G组眼压与20G组比较无显著性差异( P >0.05)。术后两组并发症发生情况无显著性差异( P >0.05)。结论标准三通道下23 G免缝合切口联合18 G套管针硅油取出术时间短,能降低视网膜脱离等并发症的发生几率,该手术安全有效。
目的:探討標準三通道下23G免縫閤切口聯閤18G套管針硅油取齣術的臨床療效。方法對84例(87隻眼)有晶狀體眼行單純硅油取齣術,其中標準三通道下23G免縫閤切口聯閤18G套針硅油取齣術(簡稱23G組)43例(45隻眼),傳統20G縫閤切口硅油取齣術(簡稱20G組)41例(42隻眼),記錄兩組手術時間,術後隨訪5~10箇月,平均(8.5±2.5)箇月,觀察兩組術後視力恢複、眼壓變化和併髮癥情況,對相關記錄進行統計分析比較。結果23G組平均手術時間(16.65±0.66)min,顯著性低于20G組(21.77±0.84)min,有統計學意義( P<0.01)。術後兩組最佳矯正視力相比較,無顯著性差異( P >0.05)。術後1 d 23G組眼壓顯著性低于20G組( P<0.05),術後1週、1箇月23G組眼壓與20G組比較無顯著性差異( P >0.05)。術後兩組併髮癥髮生情況無顯著性差異( P >0.05)。結論標準三通道下23 G免縫閤切口聯閤18 G套管針硅油取齣術時間短,能降低視網膜脫離等併髮癥的髮生幾率,該手術安全有效。
목적:탐토표준삼통도하23G면봉합절구연합18G투관침규유취출술적림상료효。방법대84례(87지안)유정상체안행단순규유취출술,기중표준삼통도하23G면봉합절구연합18G투침규유취출술(간칭23G조)43례(45지안),전통20G봉합절구규유취출술(간칭20G조)41례(42지안),기록량조수술시간,술후수방5~10개월,평균(8.5±2.5)개월,관찰량조술후시력회복、안압변화화병발증정황,대상관기록진행통계분석비교。결과23G조평균수술시간(16.65±0.66)min,현저성저우20G조(21.77±0.84)min,유통계학의의( P<0.01)。술후량조최가교정시력상비교,무현저성차이( P >0.05)。술후1 d 23G조안압현저성저우20G조( P<0.05),술후1주、1개월23G조안압여20G조비교무현저성차이( P >0.05)。술후량조병발증발생정황무현저성차이( P >0.05)。결론표준삼통도하23 G면봉합절구연합18 G투관침규유취출술시간단,능강저시망막탈리등병발증적발생궤솔,해수술안전유효。
Objective To evaluate the outcomes of three-channel 23G sutureless incision combined with 18G tro-car for silicone oil removal after vitrectomy .Methods Eighty-four patients (total 87 eyes) received either 23G sutureless incision (45 eyes) or 20G conventional suture (42 eyes) in order to remove vitreous silicone oil .The operation time was recorded.Patients were followed-up for 5 to 10 months, with the average follow-up period being 8.5 ±2.5 months.Best corrected visual acuity ( BCVA) , intraocular pressure , and postoperative complications were observed and compared be-tween the two groups .Results The mean operation time was 16.65 ±0.66 min in 23G sutureless incision group , which was significantly less than that of 20G conventional suture group (21.77 ±0.84 min;P <0.01).There was no significant difference in best corrected visual acuity (BCVA) between the two groups.The intraocular pressure was significantly lower in 23G group than in 20G group ( P <0.05) on day 1, but not at 1 week and 1 month after the surgery.There was no sig-nificant difference of postoperative complications in the two groups ( P >0.05 ) .Conclusion Silicone oil removal by three-channel 23G sutureless incision combined with 18G trocar is time saving and causes less complications , for example, retinal detachment , after surgery .This technique is safe and effective .