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单纯气液交换联合环扎治疗玻璃体切割术后视网膜脱离的疗效
其他题名The outcome of fluid-air exchange combined with scleral buckling to treat retinal detachment after vitrectomy
张世杰; 杨柳; 聂红平; 李骏
关键词气液交换 巩膜环扎 玻璃体切割术 视网膜脱离 Fluid-air Exchange Scleral Buckling Vitrectomy Retinal Detachment
刊名中国实用眼科杂志
2009
DOI10.3760/cma.j.issn.1006-4443.2009.01.023
27期:1页:65-67
收录类别中国科技核心期刊 ; CSCD
文章类型Journal Article
摘要目的 分析单纯气液交换联合环扎手术治疗玻璃体切割术后视网膜脱离的效果以及影响因素.方法 收集2005年1月至2007年6月应用单纯气液交换联合环扎手术治疗玻切术后视网膜脱离的临床资料,应用Pierce考马斯亮蓝比色法测定术中取出的玻璃体腔液体蛋白质总浓度.分析影响手术效果的可能因素.结果 单纯气液交换联合环扎手术治疗玻切术后视网膜脱离共19例(19只眼),手术成功率为78.9%.失败4只眼均为下方裂孔,视网膜脱离时间平均11.3d,3只眼为视网膜全脱离.蛋白质浓度手术失败眼与成功眼差异有显著性(P<0.01.结论 单纯气液交换联合环扎治疗玻切术后视网膜脱离可以获得较好的疗效.对于下方裂孔并且视网膜脱离时间长,范围大的患者应采用再次玻璃体手术. Objective To analyze the outcome of fluid-air exchange combined with scleral buckling to treat retinal detachment after vitrectomy.Methods From January 2005 to June 2007,the data of patients who were performed fluid-air exchange combined with scleral buckling to treat retinal detachment after vitrec-tomy in our department were collected.Pierce coomassie protein assay was used to measure total protein con-centrations of vitreous fluids obtained within operation.Results Complete data were available for 19 eyes in 19 patients.Retinal reattachment rate with fluid-air exchange combined with scleral buckling was 78.9%.Inferi-or located retinal hole and long duration of detachment were found in all 4 eyes which retina failed reattach with surgery.There were 3 eyes with total retinal detachment among 4 eyes.Statistical analysis showed that the difference of protein concentrations between success and failed eyes were significantly (P <0.01 ).Conclusion Good results of retinal detachment after vitrectomy could obtain from fluid-air exchange combined with scleral buckling.Vitrectomy should be choose to treat those with inferior located retinal hole, long detachment duration and total detachment.
语种中文
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文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/47022
Collection北京大学第一临床医学院
作者单位北京大学第一医院,北京,100034
Recommended Citation
GB/T 7714
张世杰,杨柳,聂红平,等. 单纯气液交换联合环扎治疗玻璃体切割术后视网膜脱离的疗效[J]. 中国实用眼科杂志,2009,27(1):65-67.
APA 张世杰,杨柳,聂红平,&李骏.(2009).单纯气液交换联合环扎治疗玻璃体切割术后视网膜脱离的疗效.中国实用眼科杂志,27(1),65-67.
MLA 张世杰,et al."单纯气液交换联合环扎治疗玻璃体切割术后视网膜脱离的疗效".中国实用眼科杂志 27.1(2009):65-67.
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