经睫状体平坦部硅油取出联合白内障超声乳化手术方式的探讨

发布时间：2018-10-12 20:42

【摘要】：目的：经睫状体平坦部硅油取出联合白内障超声乳化手术按照取硅油和摘除白内障的先后顺序可分为两种术式,探讨其各自特点、手术的适应症、以及临床操作技巧。方法：经睫状体平坦部巩膜切口取出硅油联合白内障超声乳化摘除及人工晶状体植入术。回顾性分析了两组共40例(40只眼)硅油填充眼行联合手术治疗。A组20例,先摘除白内障后取出硅油；B组20例,先取出硅油后摘除白内障；术后根据门诊病历资料进行随访观察6个月。用卡方检验分析比较两组手术方式术中及术后并发症。结果：两组联合手术均顺利完成,最佳矫正视力0.05—0.1者13例,0.1-0.5者9例；术后因复发性视网膜脱离需再次手术治疗者2例；术后并发症主要有硅油残留、角膜水肿、黄斑囊样水肿、复发性视网膜脱离及晶状体皮质残留等。结论：经睫状体平坦部取出硅油联合白内障超声乳化手术按照取硅油和摘除白内障的先后顺序可分为两种术式,这两种术式都是安全、可行的,但在手术过程中又有其各自特点,严格把握手术的适应症,手术过程中采取必要的对症措施以及具备相当的手术技巧是手术能否成功的关键。
[Abstract]:Objective: to study the characteristics, indications and clinical techniques of phacoemulsification combined with silicone oil extraction from the flat part of the ciliary body. Methods: silicone oil was removed from the scleral incision of the flat ciliary body combined with phacoemulsification and intraocular lens implantation. A retrospective analysis of 40 cases (40 eyes) of silicone oil filled eyes was performed in two groups: group A (n = 20), group B (n = 20). The patients were followed up for 6 months according to the data of outpatient medical records. The intraoperative and postoperative complications of the two groups were analyzed by chi-square test. Results: the combined operation was completed successfully in both groups. The best corrected visual acuity was 0.05-0.1 in 13 cases and 0.1-0.5 in 9 cases. Macular cystic edema, recurrent retinal detachment and residual lens cortex. Conclusion: the silicone oil removed from the flat part of the ciliary body and phacoemulsification can be divided into two types according to the sequence of silicone oil extraction and cataract extraction, both of which are safe and feasible. However, there are their own characteristics in the process of operation. The key to the success of the operation is to strictly grasp the indication of the operation, to take necessary measures to deal with the disease in the course of the operation and to have appropriate surgical skills.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R779.66

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