重水在玻璃体切除治疗复杂性玻璃体视网膜病变中的应用  

The use of perfluorocarbon liquids(PFCLs)to treat complicated vitroretinopathy in vitrectomy

作　　者：许艺民[1] 苗金红[1] 王薇[1] 张惠蓉[1] 

机构地区：[1]北京医科大学第三医院眼科

出　　处：《中国实用眼科杂志》1998年第12期724-726,共3页Chinese Journal of Practical Ophthalmology

摘　　要：为总结分析重水在玻璃体切除手术中联合气体／硅油填充治疗一组连续的复杂性玻璃体视网膜病人的手术效果，对一组连续的复杂性玻璃体视网膜病变病人行玻璃体切除，利用过氟化碳液体打开视网膜漏斗，内放液，稳定视网膜后进行剥膜及眼内激光等操作并联合气体／硅油填充，术后定期复查视力及视网膜复位情况。结果：手术解剖复位成功率为９０％。解剖复位眼中６７％（１８／２７）的眼视力较术前有不同程度的提高，其中视力达到０．０５以上者占５２％（１４／２７）。结论：玻璃体切除联合气体／硅油填充治疗复杂性玻璃体视网膜病变取得了良好的效果。特别是重水作为“流动的·液·体操作工具”应用于复杂的玻璃体切除手术中可改善手术操作，提高手术效果。Abstract Objective:To summary the operative results of using vitrectomy combined with perfluorocarbon liquids(PFCLs)to treat a consecutive cases of complicated vitroretinopathy.Methods:After a consecutive cases of complicated vitroretinopathy were operated by vitrectomy,retinal funnel was opened up and subretinal fluid displaced and posterior retina stabilized with perfluorocarbon liquids,retinal membrane peeling and endolaser photocoagulation were done and C3F8/silicon oil was temponaded postoperation.Visual acuity and retinal reattachment condition were examined routinely postoperation.Results:Anatomical success rate was 90%(27/30).The final visual acuity was improved to some degree in 67%(18/27 of the patients that attained reattachment.Of them the final visual acuity reached in 0 05 was about 52%(14/27).Conclusion:As an operative hydrodynamic tool,the perfluorocarbon liquids(PFCLs)can be used in vitrectomy for complicated vitroretinopathy to improve operation management and increase its results.

关 键 词：视网膜病变 玻璃体病变 重水 切除术 

分 类 号：R774.120.5[医药卫生—眼科]