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超声乳化劈核术。

Phaco one-chop nucleotomy.

作者信息

Sebban Ilan

机构信息

Sebban Eye Centre, 1A Cross Street, Brookvale, New South Wales 2100, Australia.

出版信息

J Cataract Refract Surg. 2002 Aug;28(8):1325-9. doi: 10.1016/s0886-3350(01)01266-4.

DOI:10.1016/s0886-3350(01)01266-4
PMID:12160799
Abstract

Phaco one-chop, a hybrid of the phaco-chop, stop-and-chop, and phaco-flip techniques, has 3 main phaco phases: embedding the phaco tip and chopping, flipping the right heminucleus without nucleus rotation, and evacuating the remaining left heminucleus in the bag. Of 198 eyes evaluated, 86% had a Lens Opacities Classification System III cataract grade of 3 to 6. The mean equivalent phaco time (EPT) was 1.9 seconds; for the densest cataracts, the highest phaco power needed was 5.3%. The mean overall power was 2.1%. Thus, the phaco one-chop method requires less EPT and phaco power and allows greater surgeon control for efficiency and predictability than the techniques from which it was derived.

摘要

超声乳化一刀劈核术,是超声乳化劈核术、拦截劈核术和超声乳化翻转技术的结合,有3个主要的超声乳化阶段:将超声乳化头嵌入并劈核、翻转右侧半核而不使核旋转、在囊袋内吸出剩余的左侧半核。在评估的198只眼中,86%的晶状体混浊分级系统(Lens Opacities Classification System)白内障等级为3至6级。平均等效超声乳化时间(EPT)为1.9秒;对于最致密的白内障,所需的最高超声乳化能量为5.3%。平均总能量为2.1%。因此,与它所衍生的技术相比,超声乳化一刀劈核术所需的EPT和超声乳化能量更少,并且能让术者更好地控制手术效率和可预测性。

相似文献

1
Phaco one-chop nucleotomy.超声乳化劈核术。
J Cataract Refract Surg. 2002 Aug;28(8):1325-9. doi: 10.1016/s0886-3350(01)01266-4.
2
Phaco-chop versus stop-and-chop nucleotomy for phacoemulsification.超声乳化白内障手术中劈核法与拦截劈核法的比较
J Cataract Refract Surg. 2000 Nov;26(11):1638-41. doi: 10.1016/s0886-3350(00)00544-7.
3
Ultrasound energy in phacoemulsification: a comparative analysis of phaco-chop and stop-and-chop techniques according to the degree of nuclear density.超声乳化术中的超声能量:根据核密度程度对劈核-超声乳化和拦截劈核技术的比较分析
Ophthalmic Surg Lasers Imaging. 2010 Mar-Apr;41(2):236-41. doi: 10.3928/15428877-20100303-13.
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Comparison of Nagahara phaco-chop and stop-and-chop phacoemulsification nucleotomy techniques.长原劈核法与拦截劈核式超声乳化晶状体核摘除技术的比较
J Cataract Refract Surg. 2004 Mar;30(3):663-8. doi: 10.1016/j.jcrs.2003.06.006.
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Consecutive drilling combined with phaco chop for full thickness segmentation of very hard nucleus in coaxial microincisional cataract surgery.同轴微切口白内障手术中连续钻切联合超声乳化劈核技术用于极硬核的全层分割
BMC Ophthalmol. 2019 Jan 16;19(1):20. doi: 10.1186/s12886-019-1033-1.
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The phaco hemi-flip: a method of lens removal in nuclei of soft to moderate density.超声乳化半翻转法:一种用于摘除软至中等密度晶状体核的方法。
Ophthalmic Surg Lasers Imaging. 2011 Mar-Apr;42(2):170-4. doi: 10.3928/15428877-20110316-04.
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[The application of chopping method for phacoemulsification of hard nucleus cataract].[劈核法在硬核白内障超声乳化术中的应用]
Zhonghua Yan Ke Za Zhi. 1999 Mar;35(2):88-90.
8
Phaco forward-chop technique for managing posterior nuclear plate of hard cataract.超声乳化劈核技术处理硬核白内障后极部硬核。
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Stop-Chop versus Retro-Chop Nucleotomy During Phacoemulsification.白内障超声乳化术中拦截劈核与反向劈核技术的比较
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10
Drill and chop: modified vertical chop technique for hard cataract.钻切与劈核:用于硬核白内障的改良垂直劈核技术
Ophthalmic Surg Lasers Imaging. 2012 Mar-Apr;43(2):169-72. doi: 10.3928/15428877-20111222-01. Epub 2012 Jan 3.

引用本文的文献

1
Phaco Prechop versus Divide and Conquer Phacoemulsification: A Prospective Comparative Interventional Study.预劈核超声乳化术与分而治之超声乳化术:一项前瞻性比较干预性研究。
Middle East Afr J Ophthalmol. 2008 Jul;15(3):123-7. doi: 10.4103/0974-9233.51987.
2
The comparison between torsional and conventional mode phacoemulsification in moderate and hard cataracts.中度和硬核白内障中扭转模式与传统模式超声乳化术的比较。
Korean J Ophthalmol. 2010 Dec;24(6):336-40. doi: 10.3341/kjo.2010.24.6.336. Epub 2010 Nov 23.
3
Torsional mode phacoemulsification: effective, safe cataract surgery technique of the future.
扭转模式超声乳化术:未来有效、安全的白内障手术技术。
Middle East Afr J Ophthalmol. 2010 Jan;17(1):69-73. doi: 10.4103/0974-9233.61220.