透明质酸钠在玻璃体切割术中的应用  

Application of sodium hyaluronate to vitrectomy

作　　者：赵海峰[1] 郎平[1] 吴昌凡[1] 俞迪靓[1] 

机构地区：[1]皖南医学院附属弋矶山医院眼科,安徽芜湖241001

出　　处：《皖南医学院学报》2012年第2期125-126,共2页Journal of Wannan Medical College

摘　　要：目的:探讨透明质酸钠在玻璃体切割术中的辅助应用。方法:回顾分析42例(44眼)玻璃体混浊并增殖膜形成的患者的手术过程、术中及术后并发症。结果:42例(44眼)术中无1例大出血,医源性视网膜裂孔2眼(4.55%),35眼(79.55%)彻底清除增殖膜。38眼(86.36%)术后两周最佳矫正视力(best-corrected visual acuity,BCVA)较术前提高,40眼(90.91%)视网膜得到解剖复位。结论:在玻璃体切割术中,应用透明质酸钠可使增殖膜的剥除更安全有效,减少术中出血和医源性裂孔。Objective：To assess the auxiliary application of sodium hyaluronate injection to vitrectomy.Methods：Forty-two patients（44 eyes） with vitreous opacity associated with massive proliferative membrane were reviewed regarding the surgical procedures and intra-and postoperative complications.Results：No serious hemorrhage occurred in the total 42 cases（44 eyes）,though iatrogenic retinal tear in 2 eyes（4.55%）.Proliferative membranes were totally removed in 35 eyes（79.55%）,and best-corrected visual acuity two weeks after the procedure was seen in 38 eyes（86.36%） and 40 eyes（90.91%） obtained anatomical retinal reattachment.Conclusion：Sodium hyaluronate can be auxiliary and safe use for proliferative membrane removal in vitrectomy,thus preventing intraoperative bleeding and iatrogenic retinal tears during the surgery.

关 键 词：透明质酸钠 玻璃体切割术 增殖膜 

分 类 号：R779.6[医药卫生—眼科]