中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
12期
1504-1507
,共4页
三面镜%显微镜%视网膜脱离%裂孔定位
三麵鏡%顯微鏡%視網膜脫離%裂孔定位
삼면경%현미경%시망막탈리%렬공정위
Three mirror lens%Microscope%Retinal detachment%Breaks location
目的 探讨术前三面镜裂孔定位联合显微镜直视下裂孔定位法在视网膜脱离外路显微手术中运用的临床疗效观察.方法 回顾性分析2010-01/2011-05因孔源性视网膜脱离而做视网膜脱离外路显微手术的患者45例45只眼.术前用三面镜检查确定视网膜裂孔位置和距离,作为手术中指导裂孔定位、术中放液和冷冻部位的的依据,放液后在显微镜下更精确的定位冷冻裂孔并360°常规检查周边部视网膜.硅胶局部垫压,随访6 ～18个月.结果 在45例45只眼中,一次手术视网膜完全复位42只眼(93.3％)；矫正视力在0.3以上者31只眼,0.3以下14只眼；最终视力提高40只眼,不变3只眼,下降2只眼；无严重手术并发症；显微镜直视下裂孔定位准确不易遗漏,冷凝反应清晰可见.结论 术前三面镜裂孔定位法联合术中显微镜下裂孔定位更准确,操作简单,疗效可靠.
目的 探討術前三麵鏡裂孔定位聯閤顯微鏡直視下裂孔定位法在視網膜脫離外路顯微手術中運用的臨床療效觀察.方法 迴顧性分析2010-01/2011-05因孔源性視網膜脫離而做視網膜脫離外路顯微手術的患者45例45隻眼.術前用三麵鏡檢查確定視網膜裂孔位置和距離,作為手術中指導裂孔定位、術中放液和冷凍部位的的依據,放液後在顯微鏡下更精確的定位冷凍裂孔併360°常規檢查週邊部視網膜.硅膠跼部墊壓,隨訪6 ～18箇月.結果 在45例45隻眼中,一次手術視網膜完全複位42隻眼(93.3％)；矯正視力在0.3以上者31隻眼,0.3以下14隻眼；最終視力提高40隻眼,不變3隻眼,下降2隻眼；無嚴重手術併髮癥；顯微鏡直視下裂孔定位準確不易遺漏,冷凝反應清晰可見.結論 術前三麵鏡裂孔定位法聯閤術中顯微鏡下裂孔定位更準確,操作簡單,療效可靠.
목적 탐토술전삼면경렬공정위연합현미경직시하렬공정위법재시망막탈리외로현미수술중운용적림상료효관찰.방법 회고성분석2010-01/2011-05인공원성시망막탈리이주시망막탈리외로현미수술적환자45례45지안.술전용삼면경검사학정시망막렬공위치화거리,작위수술중지도렬공정위、술중방액화냉동부위적적의거,방액후재현미경하경정학적정위냉동렬공병360°상규검사주변부시망막.규효국부점압,수방6 ～18개월.결과 재45례45지안중,일차수술시망막완전복위42지안(93.3％)；교정시력재0.3이상자31지안,0.3이하14지안；최종시력제고40지안,불변3지안,하강2지안；무엄중수술병발증；현미경직시하렬공정위준학불역유루,냉응반응청석가견.결론 술전삼면경렬공정위법연합술중현미경하렬공정위경준학,조작간단,료효가고.
Objective Discussing the clinical efficacy of three mirror lens combined with microscope in localization of retinal holes in Retinal detachment operation.Methods From October2010 to May 2011,retinal detachment (RD) 45 patients (45eyes) were enrolled in this study,The locations and distance of retinal holes were estimated by three mirror lens preoperatively as the guide for localization of retinal holes,drainage of subretinal fluid and freezing in operations.After drainage,the holes were located more precisely under surgical microscope;360 degree routine examination was performed to observe the retina of denaturation zone; Then,the solid silicone ruberwasp laced under microscope.All the patients were followed up for 6-18 months after surgery.Results In the 45 eyes of 45 cases,42 ey.es are completely reattached,visual acuity of 31 eyes were corrected to more than 0.3.The fmal visualacuity of 40 eyes were improved,while 3 were not changed and the other two were declined.No serious complication was found in 45 cases.Under microscope,the position of retinal holes was accurate and it was not easy to leave out any retina hole.Meanwhile,the reaction of retinal cryotherapy was clearly visible.Conclusion In Retinal detachment operation,three mirror lens combined with microscope was more accurate,simple and effective in the location of retinal holes.
