睫状体脱离缝合复位手术失败原因的探讨  

Discussion of the reasons of the failure of the suturing reattachment of traumatic ciliary body detachment

作　　者：王越[1] 庞秀琴[1] 闵燕[1] 王文伟[1] 

机构地区：[1]首都医科大学附属北京同仁医院眼科,100730

出　　处：《眼外伤职业眼病杂志》2003年第3期167-168,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　探讨挫伤性睫状体脱离睫状体缝合复位手术失败的原因。方法　对 17例经过睫状体缝合复位失败的患者 ,进行检查 ,分析失败的原因 ,并根据失败的原因再次施行睫状体缝合复位手术。结果　再次手术的 17例中 14例眼压大于 12 3 3mmHg ,占 82 3 % ;3例在 7 10～ 12 2 3mmHg之间 (1mmHg =0 13 3kPa)。 9例视力在 0 1～ 0 5者 ,占 5 3 % ,3例视力在0 1以上 ,占 17 6%。结论　睫状体脱离的断离口未查到或遗漏、睫状体漏缝合、手术范围估计不足、针距过大以及 3点及 9点脱离未予缝合是导致睫状体脱离缝合复位手术失败的主要原因。避免上述因素 。Objective To discuss the reasons of the failure of the suturing reattachment operation of traumatic ciliary body detachment.Methods 17 cases whose suturing reattachment operation failed were examined and the reasons of the failure were analized.According to the reasons of failure,the 17 cases were performed the suturing reattachment operation again.Results The intraocular pressure of 14 cases were beyond 12 23 mmHg (94%) (1 mmHg=0 133 kPa),the IOP of the other 3 cases were beyond 7 10 mmHg.The vision of 9 cases were beyond 0 1 (53%),the vision of 3 cases were beyond 0 5 (17 9%).Conclusion The main reasons lead to the failure of the suturing reattachment surgery were that the ciliary body detachment site was not founded,the ciliary body was not sutured exactly,the regions of the operation was not designed accuratly,the distance of the suture was long and the 3 or 9 clock ciliary body detachment was not sutured.The successful rate of operation will increased significantly if avoiding the above factors.

关 键 词：睫状体脱离 缝合复合术 眼球钝挫伤 

分 类 号：R779.6[医药卫生—眼科]