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
2014年
5期
369-371
,共3页
睫状体离断,外伤性%睫状体复位术%超声生物显微镜
睫狀體離斷,外傷性%睫狀體複位術%超聲生物顯微鏡
첩상체리단,외상성%첩상체복위술%초성생물현미경
Cyclodialysis,traumatic%Reduction,ciliary body%Biomicroscopy,ultrasound
目的 探讨在直视下睫状体复位术治疗外伤性睫状体断离的临床效果.方法 回顾性分析外伤性睫状体断离23例(23眼)在直视下行改良睫状体缝合复位术的临床资料.男19例,女4例.病程1 h～2年半.就诊时眼压为4 ～ 10 mmHg(1 mmHg =0.133 kPa).术前均通过前房角镜及超声生物显微镜(UBM)确定睫状体断离的位置和范围.结果 术后随访1～6个月,全组23眼眼压均提高到＞8 mmHg.随访6个月时23眼眼压均正常,和术前相比差异有统计学意义(t=10.8597,P=0.0000).术后视力提高者17眼(73.9％).大部分前房加深或正常,眼底有不同程度的改善.结论 直视下改良睫状体缝合复位术治疗外伤性睫状体离断疗效显著,手术成功率高.UBM可明确睫状体离断的位置和范围,对手术成功有重要作用.
目的 探討在直視下睫狀體複位術治療外傷性睫狀體斷離的臨床效果.方法 迴顧性分析外傷性睫狀體斷離23例(23眼)在直視下行改良睫狀體縫閤複位術的臨床資料.男19例,女4例.病程1 h～2年半.就診時眼壓為4 ～ 10 mmHg(1 mmHg =0.133 kPa).術前均通過前房角鏡及超聲生物顯微鏡(UBM)確定睫狀體斷離的位置和範圍.結果 術後隨訪1～6箇月,全組23眼眼壓均提高到＞8 mmHg.隨訪6箇月時23眼眼壓均正常,和術前相比差異有統計學意義(t=10.8597,P=0.0000).術後視力提高者17眼(73.9％).大部分前房加深或正常,眼底有不同程度的改善.結論 直視下改良睫狀體縫閤複位術治療外傷性睫狀體離斷療效顯著,手術成功率高.UBM可明確睫狀體離斷的位置和範圍,對手術成功有重要作用.
목적 탐토재직시하첩상체복위술치료외상성첩상체단리적림상효과.방법 회고성분석외상성첩상체단리23례(23안)재직시하행개량첩상체봉합복위술적림상자료.남19례,녀4례.병정1 h～2년반.취진시안압위4 ～ 10 mmHg(1 mmHg =0.133 kPa).술전균통과전방각경급초성생물현미경(UBM)학정첩상체단리적위치화범위.결과 술후수방1～6개월,전조23안안압균제고도＞8 mmHg.수방6개월시23안안압균정상,화술전상비차이유통계학의의(t=10.8597,P=0.0000).술후시력제고자17안(73.9％).대부분전방가심혹정상,안저유불동정도적개선.결론 직시하개량첩상체봉합복위술치료외상성첩상체리단료효현저,수술성공솔고.UBM가명학첩상체리단적위치화범위,대수술성공유중요작용.
Objective To investigate the clinical curative effect of reduction under direct observation for traumatic cyclodialysis.Methods Retrospective analysis of the clinical data of traumatic cyclodialysis in 23 eyes of 23 cases which were treated by suturing reduction under direct observation,including 19 males and 4 females.The course of disease ranged from 1 h to 2.5 years.The intraocular pressure (IOP) was 4 ～10 mmHg(1 mmHg =0.133 kPa).Gonioscopy and UBM were used preoperatively to determine the location and range of cyclodialysis.Results The patients were followed up for 1-6 months.The IOP of total 23 eyes increased more than 8mmHg.At 6 months after operation,the IOP of 23 eyes were normal.Compared with the preoperative values,the difference was statistically significant (t =10.8597,P =0.0000).The visual acuity improved in 17 eyes (73.9％).The anterior chamber was deepened and fundus was improved at different degrees in most patients.Conclusion The operation of reduction under direct observation has good clinical efficacy for traumatic cyclodiaysis.UBM can detect the location and range of cyclodialysis accurately,which is helpful for the surgery.
