CAJ | 학술논문

目的评价23G经结膜无缝合玻璃体切除系统应用于Oxane 5700硅油取出术的效果.方法回顾性分析连续病例68例(68只眼)临床资料,分为23G微创组(35只眼)和20G传统组(33只眼),两组进行比较.结果所有患眼均成功取出硅油,平均随访(5.61±1.24)个月.23G组和20G组手术时间差异有统计学意义(t=21.582,P=0.000);术后1 d23G组最佳矫正视力优于20G组,两组差异有统计学意义(F=5.308,P＜0.05).术后1d两组平均跟压较术前均明显降低,两组差异有统计学意义(F =6.087,P＜0.05).术后及随访期间,两组术后眼疼痛不适及结膜充血眼红外观差异有统计学意义(Z=-2.253,-3.628,P＜0.05).结论 23G与20G玻璃体切除系统行Oxane5700硅油取出术比较,前者手术操作时间短、术后眼部疼痛轻、眼红外观持续时间短及患者舒适度高,且术后并发症的发生率无明显差异,是种快速安全有效的微创手术方式.
목적 평개23G경결막무봉합파리체절제계통응용우Oxane 5700규유취출술적효과.방법 회고성분석련속병례68례(68지안)림상자료,분위23G미창조(35지안)화20G전통조(33지안),량조진행비교.결과 소유환안균성공취출규유,평균수방(5.61±1.24)개월.23G조화20G조수술시간차이유통계학의의(t=21.582,P=0.000);술후1 d23G조최가교정시력우우20G조,량조차이유통계학의의(F=5.308,P＜0.05).술후1d량조평균근압교술전균명현강저,량조차이유통계학의의(F =6.087,P＜0.05).술후급수방기간,량조술후안동통불괄급결막충혈안홍외관차이유통계학의의(Z=-2.253,-3.628,P＜0.05).결론 23G여20G파리체절제계통행Oxane5700규유취출술비교,전자수술조작시간단、술후안부동통경、안홍외관지속시간단급환자서괄도고,차술후병발증적발생솔무명현차이,시충쾌속안전유효적미창수술방식.
Objective To investigate the effects of Oxane 5700 silicon oil removal with 23G transconjunctival sutureless vitrectomy system(23G TSV).Methods Sixty-eight eyes of 68 consecutive patients undergoing Oxane 5700 silicone removal were collected,and were divided into 23G minimally invasive group (35 eyes)and 20G traditional group(33 eyes).Results The silicone oil was removed successfully in all patients,the mean duration of follow-up was (5.61 ± 1.24) months.There were significant differences between 23G minimally invasive group and 20G traditional group in the mean operation time (t =21.582,P =0.000).There were also significant differences between two groups in the wound opening time and closing time (t =28.681,t =29.720,P =0.000).The best corrected visual acuity in 23 G minimally invasive group was better than that in 20G traditional group at one day after surgery,there was significant differences between two groups(F =6.087,P ＜ 0.05).The intraocular pressure (IOP) at one day after surgery in both groups was lower than that of preoperative,there were significant differences between two groups (F =6.087,P ＜ 0.05).During the operation and follow-up,there was significant differences between two groups in the median of days discomfort and conjunctival congestion of the eye(Z =-2.253,-3.628,P ＜0.05).Conclusion The 23G TSV is a safe and effective surgical technique to remove Oxane 5700 silicone oil.Compared with traditional standard 20-gauge vitrectomy system surgery,it is time-saving with less red-eye appearance look and high degree of comfort.