表麻下应用25G玻璃体切割治疗合并玻璃体积血视网膜大动脉瘤  

Using 25gauge transconjunctival sutureless vitrectomy system through surface anesthesia for retinal arterial macroanuerysm with vitreous hemorrahge

作　　者：毛新帮[1] 游志鹏[1] 赵菊莲[1] 

机构地区：[1]江西省南昌大学第二附属医院眼科,南昌330006

出　　处：《中国实用眼科杂志》2013年第4期451-453,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨表麻下应用TSV25G（25G经结膜无缝线玻璃体切割系统）治疗合并玻璃体积血的视网膜大动脉瘤的治疗效果。方法回顾性分析2011年7月至2012年7月不明原因玻璃体积血的患者12例12只眼根据术前眼底照相、眼科B超及术中所见和术后眼底照相、眼底荧光血管造影等检查确诊为视网膜大动脉瘤的资料，所有患者接受表麻下25G玻璃体切割系统治疗，对手术时间、术后最佳矫正视力、眼底照相、眼底荧光血管造影等结果进行观察，随访1～12个月。结果术后视力均明显提高，0．1～0.3者4只眼，0．4～0．6者6只眼，大于0．6者2只眼；末次随访时所有患者瘤体萎缩，无玻璃体积血复发者。手术时间为12～18min，平均为15min；结论表麻下应用TSV25G系统治疗合并玻璃体积血的视网膜大动脉瘤能有较好的治疗效果，能明显提高视力，缩短手术时间，减少并发症。Objective To discuss the effect of using TSV25G （25G transconjanctival sutureless vitrectomy system） in the treatment of retinal arterial macroanuerysm with vitreous hemorrhage. Methods The data of twelve cases （12 eyes） with vitreous hemorrhage without certain causes were analyzed retrospectively from 2011 July to 2012 July, diagnosed as retinal arterial macroanuerysm ac- cording to findings of operative fi.mdus photography, Ophthalmology B-ultrasound, that found during operation and results of fundus photography and FFA postoperatively. All cases underwent three ports vitrectomy using 25gauge Transconjunctival Sutureless Vitrectomy System through surface anes- thiasm. The operation time, postoperative BCVA, fundus photograghy and FFA were observed. Fol- low-up time was 1 month to 12 months. Results The operation lasted for 12-18minutes, meanly 15 minutes. Among them, the BCVA promoted in all eyes, 0.1-0.3 in four eyes, 0.4-0.6 in six eyes, 〉 0.6 in two eyes. The tumors of all eyes degenerated postoperatively, no one reoccurred in vitreous hemorrhage. Conclusions Using 25gauge transconjunctival sutureless vitrectomy system through sur- face anesthesia is effective and safe in treatment for for retinal arterial macroanuerysm with vitreous hemorrhage, it can promote visual acuity, shorten operation time, decrease complication.

关 键 词：25G经结膜无缝合玻璃体切割系统 表麻 视网膜大动脉瘤 玻璃体积血 

分 类 号：R774.506[医药卫生—眼科]