CAJ | 학술논문

目的：评价不增加切口的20G标准三通道玻璃体手术治疗严重眼外伤脉络膜上腔出血的疗效。方法对2011年10月至2014年10月间我科收治的29例（29眼）严重眼外伤合并脉络膜上腔出血的病人采取玻璃体手术治疗，置灌注后，通过板层的20G玻切穿刺口引流脉络膜上腔积血，再通过此切口行玻璃体手术，处理玻血和或网膜损伤，术终眼内填充气体或硅油。结果25例患者术中脉络膜上腔出血充分引流完全复位，4例患者残留少量积血，表现为小块脉络膜隆起，注入硅油后，术后一月复查网膜复位。所有患者术后视力均有改善。结论采用不增加切口的三通道玻切的巩膜切口可以有效引流外伤性脉络膜上腔出血，达到理想疗效。
목적：평개불증가절구적20G표준삼통도파리체수술치료엄중안외상맥락막상강출혈적료효。방법대2011년10월지2014년10월간아과수치적29례（29안）엄중안외상합병맥락막상강출혈적병인채취파리체수술치료，치관주후，통과판층적20G파절천자구인류맥락막상강적혈，재통과차절구행파리체수술，처리파혈화혹망막손상，술종안내전충기체혹규유。결과25례환자술중맥락막상강출혈충분인류완전복위，4례환자잔류소량적혈，표현위소괴맥락막륭기，주입규유후，술후일월복사망막복위。소유환자술후시력균유개선。결론채용불증가절구적삼통도파절적공막절구가이유효인류외상성맥락막상강출혈，체도이상료효。
Objetive To evaluate the therapeutic effect of using 20G standard three-channel vitrectomy without increasing incision on choroidal hemorrhage caused by severe ocular trauma Methods From October 2011 to October 2014 our department treated 29 patients (29 eyes) of severe ocular trauma with a clear eye Bus choroidal hemorrhage with Vitrectomy,After perfusion, choroidal hemorrhage was drained through puncture opening of 20G vitrectomy . And we performed vitrectomy through this incision, dealing with vitreous hemorrhage or retinal damage. Finally, gas or silicone oil was filled into eyes. Results Intraoperative choroidal hemorrhage of 25 patients was drained completely, Small amount of blood remained in suprachoroidal space in 4 patients, showing small pieces of choroid uplift. We filled silicone oil retina resetted after one month. Visual acuity was improved in all patients.Conclusions The use of without increasing three-channel incision scleral incision vitrectomy drained of traumatic choroidal hemorrhage effectively, achieving the desired effect.