带管导光在硅油注入手术中的应用  

Aplication of endoilluminator with duct in silicone oil injection

作　　者：梁勇[1] 黄敏丽[1] 区显宁[1] 李传宝[1] 

机构地区：[1]广西医科大学第一附属医院眼科,南宁530021

出　　处：《中国实用眼科杂志》2007年第6期634-636,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 观察和评估带管导光在硅油／液体交换硅油注入术临床效果。方法 对35例（35只眼）在行硅油／液体交换硅油注入时，应用带抽吸管导光行导光和抽吸操作，将其尾部软管与玻切机的抽吸管道相连，抽吸玻璃体腔液体，同时助手借助硅油助推器经20G静脉穿刺套管将硅油逐渐注入玻璃体腔内。结果 35眼实施硅油注入手术，减少了硅油注入时的阻力，具有注入过程顺畅便捷，油／液交换彻底，眼内压可控性好。木中出现医源性视网膜裂孔2例，眼内压过高1例，无晶状体损伤、眼内出血、脉络膜脱离等并发症。结论 带管导光及静脉穿刺套管在硅油注入中应用安全，有效，并发症少。Objective To observe and assess the clinical outcome and effect of a modified method to exchange fluid/silicon. Methods 35 eyes had received this method to exchange fluid/silicon.We used a 20G venipuncture cannula（shortened to 3 cm or so）to infuse silicone oil and a endoilluminator with aspiration duct through a scleral incision to extract vitreous space fluid at the same time.We connected tube of aspirating endoiUuminator with suction lead of vitrectomy machine to execute aspiration function. Results All 35 eyes obtained primany success in fluid/silicon exchange, we find it can reduc the resistance of infusion to makes the infusion process smooth and convenient, fluid/silicon exchange thoroughly, the intraocular pressure can be easy to control. During operation complications included iatrogentic retinal tears in 2 cases and hypertension in l case.There were no damage of lens, serious uncontrolled hemorrhage and choroidal detachment. Conclusion Using endoilluminator with aspiration duct and 20G venipuncture cannula for fluid/silicon exchange is safe and effective method with less complications.

关 键 词：带管导光 静脉穿刺套管 硅油/液体交换 硅油注入 

分 类 号：R779.6[医药卫生—眼科]