国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
11期
1927-1929
,共3页
黄勇志%孙涛%植玉婷%李丽%颜鲁宁
黃勇誌%孫濤%植玉婷%李麗%顏魯寧
황용지%손도%식옥정%리려%안로저
前房注气%前房气泡%前房不稳%切口渗漏%白内障手术
前房註氣%前房氣泡%前房不穩%切口滲漏%白內障手術
전방주기%전방기포%전방불은%절구삼루%백내장수술
anterior chamber gas injection%anterior chamber bubbles%unstable anterior chamber%incision leakage%cataract surgery
目的：：应用前房注入无菌空气治疗白内障手术结束时出现前房不稳定的情况，观察手术效果、并发症，评估安全性。方法：回顾性分析白内障手术结束时前房不稳定的病例，将其分成两组，注气组31眼为前房注气组，注液组27眼为注液(平衡盐溶液， BSS )组，观察前房气泡吸收情况及前房稳定性，对角膜内皮细胞、视力、眼压的影响，有无其它并发症如眼内炎症、黄斑囊样水肿。结果：两组术前眼压对比、术后眼压对比差异均无统计学意义(P>0.05)，注气组术前眼压(15.29±0.53)mmHg与术后1d眼压(14.58±0.63)mmHg对比差异无统计学意义(P>0.05)。两组术前角膜内皮细胞密度对比(2435.71±194.80 vs 2430.74±191.95个/mm2)，术后角膜内皮细胞密度对比(2400.74±194.00 vs 2398.22±193.36个/mm2)差异均无统计学意义(P>0.05)。两组术后均未出现浅前房、眼内炎症。术中单次操作前房恢复稳定率注气组94%，注液组33%，两组对比差异具有统计学意义(P<0.05)。结论：应用前房注气治疗白内障术毕出现前房恢复不稳定情况，安全有效，简单快速。
目的：：應用前房註入無菌空氣治療白內障手術結束時齣現前房不穩定的情況，觀察手術效果、併髮癥，評估安全性。方法：迴顧性分析白內障手術結束時前房不穩定的病例，將其分成兩組，註氣組31眼為前房註氣組，註液組27眼為註液(平衡鹽溶液， BSS )組，觀察前房氣泡吸收情況及前房穩定性，對角膜內皮細胞、視力、眼壓的影響，有無其它併髮癥如眼內炎癥、黃斑囊樣水腫。結果：兩組術前眼壓對比、術後眼壓對比差異均無統計學意義(P>0.05)，註氣組術前眼壓(15.29±0.53)mmHg與術後1d眼壓(14.58±0.63)mmHg對比差異無統計學意義(P>0.05)。兩組術前角膜內皮細胞密度對比(2435.71±194.80 vs 2430.74±191.95箇/mm2)，術後角膜內皮細胞密度對比(2400.74±194.00 vs 2398.22±193.36箇/mm2)差異均無統計學意義(P>0.05)。兩組術後均未齣現淺前房、眼內炎癥。術中單次操作前房恢複穩定率註氣組94%，註液組33%，兩組對比差異具有統計學意義(P<0.05)。結論：應用前房註氣治療白內障術畢齣現前房恢複不穩定情況，安全有效，簡單快速。
목적：：응용전방주입무균공기치료백내장수술결속시출현전방불은정적정황，관찰수술효과、병발증，평고안전성。방법：회고성분석백내장수술결속시전방불은정적병례，장기분성량조，주기조31안위전방주기조，주액조27안위주액(평형염용액， BSS )조，관찰전방기포흡수정황급전방은정성，대각막내피세포、시력、안압적영향，유무기타병발증여안내염증、황반낭양수종。결과：량조술전안압대비、술후안압대비차이균무통계학의의(P>0.05)，주기조술전안압(15.29±0.53)mmHg여술후1d안압(14.58±0.63)mmHg대비차이무통계학의의(P>0.05)。량조술전각막내피세포밀도대비(2435.71±194.80 vs 2430.74±191.95개/mm2)，술후각막내피세포밀도대비(2400.74±194.00 vs 2398.22±193.36개/mm2)차이균무통계학의의(P>0.05)。량조술후균미출현천전방、안내염증。술중단차조작전방회복은정솔주기조94%，주액조33%，량조대비차이구유통계학의의(P<0.05)。결론：응용전방주기치료백내장술필출현전방회복불은정정황，안전유효，간단쾌속。
Abstract?AlM: To observe the surgical effect, complications and assess the safety of applying anterior chamber injection of sterile air to treat instability of anterior chamber occurred at the end of cataract surgery.?METHODS:The cases with unstable anterior chamber occurred at the end of cataract surgery were retrospectively analyzed. They were divided into two groups, group A ( 31 eyes ) received anterior chamber injection of sterile air, group B ( 27 eyes ) underwent anterior chamber injection of balanced salt solution ( BSS) . The anterior chamber bubbles and the stability of anterior chamber, the influence on corneal endothelial cells, visual acuity, and intraocular pressure ( lOP ) , the presence of other complications such as intraocular inflammation, cystoid macular edema were observed.? RESULTS: There were no statistically significant differences comparing preoperative and postoperative lOP between two groups (P>0. 05). ln group A, preoperative lOP was 15. 29 ± 0. 53mmHg and 1d postoperative lOP was 14.58±0.6mHg, with no statistical difference (P>0.05). Preoperative corneal endothelial cell density between two group 2 435. 71 ± 194. 80cells/mm2 vs 2 430. 74 ± 191. 95cells/mm2 , postoperative between two groups were 2 400. 74 ± 194. 00cells/mm2 vs 2 398. 22 ± 193. 36cells/mm2 with no statistically significant difference (P>0. 05). There was no postoperative shallow anterior chamber and intraocular inflammation in the two groups. The success rate of single operation restoring the stability of anterior chamber in group A was 94%, group B was 33%, the difference had statistical significance (P<0. 05).?CONCLUSlON:lt is safe and effective, simple and quick applying anterior chamber gas injection in the treatment of unstable anterior chamber at the end of cataract surgery.
