中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
2期
95-97
,共3页
23G%玻璃体积血%玻璃体切除术
23G%玻璃體積血%玻璃體切除術
23G%파리체적혈%파리체절제술
23-gauge%Hemorrhage,vitreous%Vitrectomy
目的 探讨23 G经结膜无缝合玻璃体切除系统(23G TVS)在玻璃体积血中的应用,评估其疗效及安全性.方法 回顾性分析通过23G TSV行玻璃体切除治疗玻璃体积血52例(62眼),术后随访3～12个月.观察最佳矫正视力、眼压及术中、术后并发症等.结果 62眼中增生性糖尿病性视网膜病变(PDR)致玻璃体积血者最多,为26眼(41.94％)；其次为视网膜分支静脉阻塞(BR-VO)16眼(25.81％),再次为外伤性玻璃体积血6眼(9.68％),年龄相关性黄斑病变7眼(11.29％),其他7眼(11.29％).所有病例均顺利完成手术,术后最佳矫正视力均有提高,与术前比较差异有统计学意义.术后眼压正常,无严重并发症发生.结论 对各种原因引起的玻璃体积血,23G TVS是一种安全有效的微创手术方法.
目的 探討23 G經結膜無縫閤玻璃體切除繫統(23G TVS)在玻璃體積血中的應用,評估其療效及安全性.方法 迴顧性分析通過23G TSV行玻璃體切除治療玻璃體積血52例(62眼),術後隨訪3～12箇月.觀察最佳矯正視力、眼壓及術中、術後併髮癥等.結果 62眼中增生性糖尿病性視網膜病變(PDR)緻玻璃體積血者最多,為26眼(41.94％)；其次為視網膜分支靜脈阻塞(BR-VO)16眼(25.81％),再次為外傷性玻璃體積血6眼(9.68％),年齡相關性黃斑病變7眼(11.29％),其他7眼(11.29％).所有病例均順利完成手術,術後最佳矯正視力均有提高,與術前比較差異有統計學意義.術後眼壓正常,無嚴重併髮癥髮生.結論 對各種原因引起的玻璃體積血,23G TVS是一種安全有效的微創手術方法.
목적 탐토23 G경결막무봉합파리체절제계통(23G TVS)재파리체적혈중적응용,평고기료효급안전성.방법 회고성분석통과23G TSV행파리체절제치료파리체적혈52례(62안),술후수방3～12개월.관찰최가교정시력、안압급술중、술후병발증등.결과 62안중증생성당뇨병성시망막병변(PDR)치파리체적혈자최다,위26안(41.94％)；기차위시망막분지정맥조새(BR-VO)16안(25.81％),재차위외상성파리체적혈6안(9.68％),년령상관성황반병변7안(11.29％),기타7안(11.29％).소유병례균순리완성수술,술후최가교정시력균유제고,여술전비교차이유통계학의의.술후안압정상,무엄중병발증발생.결론 대각충원인인기적파리체적혈,23G TVS시일충안전유효적미창수술방법.
Objective To investigate the cause of vitreous hemorrhage and the clinical effect of 23-gauge transconjunctival sutureless vitrectomy system in the treatment of vitreous hemorrhage.Methods 52 cases (62 eyes) managed with 23-gauge vitrectomy were retrospectively reviewed.All surgeries were performed in our hospital from June 2010 to February 2011.The follow-up time was 3 to 12 months.The main observed items included the best corrected visual acuity,intraocular pressure,intraoperative and postoperative complications.Results The proliferative diabetic retinopathy (PDR) was the most common cause(26 eyes,41.94％)for vitreous hemorrhage.The second one was branch retinal vein occlusion (BRVO,16 eyes,25.81％).The third and fourth most common causes were age related macular degeneration (ARMD,7 eyes,11.29％) and traumatic vitreous hemorrhage (6 eyes,9.68％).The other causes for vitreous hemorrhage accounted for 11.29％.All surgeries were successfully completed and the best corrected visual acuities were improved in all cases.The mean postoperative intraocular pressure was normal.No intraoperative complications and serious postoperative complications were observed.Conclusion 23-gauge transconjunctival sutureless vitrectomy system is an effective and safe surgical technique in the management of vitreous hemorrhage.
