微创技术在Ⅳ级前房积血(黑眼球)中的应用  

Minimally invasive surgery for severe hyphema(black ball) with vitrectomy devices

作　　者：乔岗[1] 姜世怀[1] 代艳[1] 王晓莉[1] 曾健[1] 余敏[1] 

机构地区：[1]绵阳市中心医院眼科,四川绵阳621000

出　　处：《山东大学耳鼻喉眼学报》2012年第4期61-63,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的对比分析和评价常规前房冲洗手术和微创技术在Ⅳ级前房积血治疗中的效果。方法以2010年1月～2011年12月因眼球钝挫伤继发前房积血诊断为前房积血Ⅳ级的病例28例(28眼)为研究对象,其中15例采用常规前房冲洗手术(A组),13例采用微创技术(B组)。分析两组术后角膜水肿消退情况、再出血比例、视力、眼压控制情况等指标。结果 A组15例(15眼)平均术后角膜水肿消退时间(5.1±1.5)d,术后3、7 d平均视力分别为4.02±1.12及4.65±0.21,术后再出血4例(26.7%),术后持续高眼压3例(20%),并发白内障4例(26.7%);B组(13眼)平均术后角膜水肿消退时间为(3.1±1.3)d,术后3、7 d平均视力分别为4.62±1.18及4.91±0.17,无术后再出血病例,术后持续高眼压2例(15.38%),并发白内障1例(7.7%)。差异有统计学意义。结论微创技术应用于前房积血Ⅳ级(黑眼球)中有术后反应轻、再出血概率小等优点,值得应用推广。Objective To assess the effect of routine surgery and minimally invasive surgery with vitrectomy devices for severe hyphema（ black ball）. Methods 28 patients who suffering from severe hyphema（ black ball） from January 2010 to December 2011 were divided into two groups. The group A （ 15 patients, 15eyes） were cured by routine surgery and the group B were cured by minimally invasive surgery with vitrectomy devices. Regression time of the corneal edema after surgery, vision, rate of re-haemorrhagia, complicated cataract and intraocular hypertension were recorded for analysis. Results The regression time of the corneal edema after surgery was （5.1 ± 1.5 ） days in group A and （3.1 ± 1.3 ） days in group B. The vision was 4.02 ± 1.12 and 4.65 ± 0.21 on 3 and 7days after surgery in group A, but was 4.62 ± 1.18 and 4.91 ±0.17 in group B. There were 4 cases of rehaemorrhagia and 4 complicated cataract in group A but none rehaemorrhagia and 1 complicated cataract in group B, and the differences were statistical. There were no differences in rate of intraocular hypertension between the two groups. Conclusion Minimally invasive surgery with vitrectomy devices for severe hyphema（black ball） can made patients less impairment and obtain better vision.

关 键 词：前房冲洗 微创手术 前房积血 

分 类 号：R779.6[医药卫生—眼科] R779.12[医药卫生—临床医学]