CAJ | 학술논문

目的：探讨前房维持器联合前置镜在眼前后段联合手术有效果及安全性。方法眼前后段联合手术60例(60眼)为研究对象。临床试验组30例(30眼)：在眼前段手术时在前房维持器下进行，在眼后段手术时应用前房维持器和前置镜，术者双手操作。对照组30例(30眼)：眼前段手术时不用前房维持器，眼后段手术时采用巩膜切口灌注套管，平凹角膜接触镜下单手完成后段手术。两组从手术时长、手术效果、术后并发症等方面进行对比，探讨前房维持器联合前置镜的应用价值。结果试验组与对照组手术时长差异无统计学意义(P>0.05)，但剥膜时长、异物摘出时长，试验组明显小于对照组(P<0.05)。两组末次随访时视力均高于术前(P<0.01)，术后视力提高两行及以上者试验组21眼(70.0%)，对照组20眼(66.7%)，两组间差异无统计学意义(P>0.05)。两组在术后并发症的发生率差异均无统计学意义(均P>0.05)。结论前房维持器联合前置镜在眼前后段联合手术具有操作方便、观察范围广、利于双手操作及术后并发症不多等优点。
목적：탐토전방유지기연합전치경재안전후단연합수술유효과급안전성。방법안전후단연합수술60례(60안)위연구대상。림상시험조30례(30안)：재안전단수술시재전방유지기하진행，재안후단수술시응용전방유지기화전치경，술자쌍수조작。대조조30례(30안)：안전단수술시불용전방유지기，안후단수술시채용공막절구관주투관，평요각막접촉경하단수완성후단수술。량조종수술시장、수술효과、술후병발증등방면진행대비，탐토전방유지기연합전치경적응용개치。결과시험조여대조조수술시장차이무통계학의의(P>0.05)，단박막시장、이물적출시장，시험조명현소우대조조(P<0.05)。량조말차수방시시력균고우술전(P<0.01)，술후시력제고량행급이상자시험조21안(70.0%)，대조조20안(66.7%)，량조간차이무통계학의의(P>0.05)。량조재술후병발증적발생솔차이균무통계학의의(균P>0.05)。결론전방유지기연합전치경재안전후단연합수술구유조작방편、관찰범위엄、리우쌍수조작급술후병발증불다등우점。
Objective To investigate the effectiveness and safety of anterior chamber maintainer and preset lens application in anterior and posterior combined surgrey. Methods sixty eyes of sixty cases who needed anterior and posterior combined surgery were collected. Thirty eyes of 30 cases in clinical trial group received anterior segment operation with assistance of anterior chamber maintainer, and posterior segment operation under the using of anterior chamber maintainer and preset lens. The operator completed the posterior segment operation with bimanual manipulation. Thirty eyes of 30 cases in control group received anterior segment operation without anterior chamber maintainer, and the posterior segment operation was done with assistance of corneal contact lens by single-hand manipulation. The operation time, effect and postoperative complications were compared between the two groups. The application value of these devices were investigated. Results There was no statistically significant difference in operation time between the two groups (P >0.05). The epiretinal membrane peeling time and time of removing foreign bodys in experimental group were shorter than that in control group (P<0. 05). The visual acuity after the operation was significantly better than that before the operation in both of the two groups (P <0. 01). The visual acuity after the operation improved by two lines and more were 21 eyes (70%) in trial group, and it was 20 eyes (66. 7%) in control group, and there was no statistically significant difference between the two groups (P>0. 05). The difference in complication incidence after the operation between the two groups was also not statistically significant (P >0. 05). Conclusion Anterior chamber maintainer and preset lens in anterior-posterior combined surgery possess many advantages, such as more convenience in operation process, a wider range of observation, bimanual manipulation, less complications.