表面麻醉联合结膜下麻醉在小梁切除手术中的应用  

Application of topical anesthesia combined with subconjunctival anesthesia in trabeculectomy

作　　者：霍昭[1] 贺经[1] 葛胜利[1] 

机构地区：[1]延安大学附属医院眼科,中国陕西省延安市716000

出　　处：《国际眼科杂志》2009年第8期1579-1580,共2页International Eye Science

摘　　要：目的:探讨表面麻醉联合球结膜下麻醉方法行青光眼小梁切除术的可行性并对其效果进行评价。方法:对82例118眼青光眼患者用4g/L倍诺喜表面麻醉结合球结膜下麻醉行青光眼小梁切除术,观察麻醉效果及术中术后并发症。结果:全部患眼均能达到理想的麻醉镇痛效果,顺利完成手术,术中未出现常规麻醉可能出现的局部及全身并发症。结论:表面麻醉联合球结膜下麻醉行青光眼小梁切除术是一种安全、可靠、有效、简便易行的麻醉选择,值得推广应用。AIM： To investigate the feasibility of topical anesthesia combined with subconjunctival anesthesia in trabeculectomy and evaluate their effectiveness. METHODS： Eighty-two cases （118 eyes） with glaucoma underwent trabeculectomy under topical anesthesia with 4g/L Benoxil combined with subconjunctival anesthesia. The effects of anesthesia and intraoperative and postoperative complications were observed. RESULTS： The narcotic analgesic effect was ideal in all patients, and the surgeries were successful. No local or systemic complications appeared, which might occur during routine anesthesia. CONCLUSION： Trabeculectomy under topical anesthesia combined with subconjunctival anesthesia is a safe, reliable, effective and user-friendly anesthesia option and worth popularizing.

关 键 词：表面麻醉 球结膜下麻醉 青光眼小梁切除术 

分 类 号：R614[医药卫生—麻醉学] R779.6[医药卫生—外科学]