摘要
目的探讨玻璃体手术中用笛形针经赤道部裂孔引流视网膜下液的可行性及效果。方法对2006—05～2008—01在本院行玻璃体手术明64例64只眼伴有赤道部裂孔需行玻璃体切除的患眼作回顾性分析。其中合并严重增生性玻璃体视网膜病变27只眼，巨大裂孔性视网膜脱离2只眼（180°以上裂孔），合并脉络膜脱离5只眼，复发性视网膜脱离4只眼。手术方法包括经平坦部玻璃体切除，剥除增生膜，松解牵引，笛形针经赤道部裂孔引流视网膜下液，眼内激光光凝，硅油或C3髓填充。手术操作均在1．30°全视野镜下进行。结果除3例周边部裂孔、2例巨大裂孔及3例大范围视网膜切开患者外，其他56例均能经赤道部裂孔引流达到视网膜复位。结论在全视网膜镜下经赤道部裂孔气液交换能达到良好的视网膜复位的效果，避免术中行后极部视网膜造孔内引流或使用全氟化碳液体，简化了手术操作，同时也减轻了患者经济负担，具有一定的实用价值。
Objective To investigate the possibility of draining subretinal fluid through equatorial retinal tear by flute needle during vitrectomy and its clinical effect. Methods Sixty-four vitrectomized eyes of 64 patients with equatorial retinal tear were analyzed retrospectively, of which, 27 cases had severe proliferative vitreoretinopathy, 2 cases had giant rhegmatogenous retinal detachment （more than 180 degree）, 5 cases had choroidal detachrnent,4 cases had retinal redetachment. All surgical procedures were performed under wide angle vit reoretinal viewing system, which included pars plana vitrectomy, membrane peeling, traction relaxing, fluid air exchange, silicone oil or C3F8 tamponade. Suhretinal fluid were drained by flute needle through equatorial retinal tear. Results Retinal attachment was achieved by fluid air exchange through equatorial tear in 56 eyes. Except that, 3 cases had peripheral retinal tear, 2 cases had giant rhegmatogenous retinal detachment,and 3 cases had wide-bound retinotomy. Conclusion Under wide angle vitreoretinal viewing system, retinal attachment can be achieved by fluid air exchange through equatorial tear. This method could simplify the surgical procedure, decrease the complication of endodrainage retinotomies or perfluorocarbon liquid, and reduce the surgical cost.
出处
《山西医科大学学报》
CAS
2008年第9期858-859,共2页
Journal of Shanxi Medical University
