CAJ | 학술논문

目的观察应用自制硅油取出器行硅油取出手术的临床效果.方法利用自行设计并制作的硅油取出器,为45例(45只眼)硅油填充的患者行硅油取出术,术中记录患者硅油取出时间,观察术中及术后并发症的发生情况,并随访观察6个月以上.结果所有患者均一次完成硅油取出,平均时间13 min,术中未出现脉络膜上腔出血、视网膜脱离等严重并发症.45例患者术后1周视力提高者20例；4只眼出现低眼压但均在2周内恢复正常；13例继发性青光眼的患者术后7只眼眼压恢复正常.所有患者术后未出现感染、脉络膜上腔出血、视网膜嵌顿及硅油残留等严重并发症.3只眼术后发生视网膜脱离.结论该种硅油取出器设计简单实用,临床操作简便、安全.
목적 관찰응용자제규유취출기행규유취출수술적림상효과.방법 이용자행설계병제작적규유취출기,위45례(45지안)규유전충적환자행규유취출술,술중기록환자규유취출시간,관찰술중급술후병발증적발생정황,병수방관찰6개월이상.결과 소유환자균일차완성규유취출,평균시간13 min,술중미출현맥락막상강출혈、시망막탈리등엄중병발증.45례환자술후1주시력제고자20례；4지안출현저안압단균재2주내회복정상；13례계발성청광안적환자술후7지안안압회복정상.소유환자술후미출현감염、맥락막상강출혈、시망막감돈급규유잔류등엄중병발증.3지안술후발생시망막탈리.결론 해충규유취출기설계간단실용,림상조작간편、안전.
Objective To observe clinical effects of the application of self-designed silicone oil removal device for silicone oil removal surgery.Methods Forty-five patients (45 eyes) underwent silicone oil removal surgery using self-designed silicone oil removal device in our hospital.The operation times were recorded.Intraoperative and postoperative complications were observed and followed up for 6 months or longer.Results All cases completed silicone oil removal surgery at one time with an average of 13 minutes.The suprachoroidal hemorrhage,retinal detachment and other serious complications did not happen.The visual acuity of 20 cases was improved after one week.Four eyes showed low intraocular pressure (lOP) retumed to normal in two weeks.The lOP of 7 eyes in 13 eyes of secondary glaucoma resumed normal after surgery.The infection,suprachoroidal hemorrhage,retinal incarceration,silicone oil residues and other serious complications appeared in no patients.The retinal detachment happened in 3 eyes after operation.Conclusions The silicone oil removal device designed by ourselves is simple and practical.It's a safe and effective way for silicone oil removal and should be popularized.