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关于超声乳化切口热收缩发生率及因果关系的调查。

A survey about phacoemulsification incision thermal contraction incidence and causal relationships.

作者信息

Bradley Michael J, Olson Randall J

机构信息

Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, and University of Utah Health Sciences Center, 50 North Medical Drive, Salt Lake City, UT 84132, USA.

出版信息

Am J Ophthalmol. 2006 Jan;141(1):222-4. doi: 10.1016/j.ajo.2005.08.018.

Abstract

PURPOSE

To ascertain the rate and related factors of phacoemulsification wound burns.

DESIGN

Survey.

METHODS

We conducted a survey of 523 ophthalmologists in Utah, Colorado, Montana, South Dakota, and Oregon.

RESULTS

One hundred six doctors (20.3%) responded and provided data on 76,581 procedures and 75 wound burns (0.98/1000 procedures). Twenty-one wounds (28%) occurred during early sculpting, and 53 wounds (71%) occurred during fragment removal. Wound burns were found to be associated with surgical approach (P = .003), phacoemulsification unit (P = .007), and unit settings (P < .001).

CONCLUSION

Wound burns continue to be a serious complication; however, advances in technology and surgical technique help.

摘要

目的

确定白内障超声乳化手术伤口灼伤的发生率及相关因素。

设计

调查。

方法

我们对犹他州、科罗拉多州、蒙大拿州、南达科他州和俄勒冈州的523名眼科医生进行了调查。

结果

106名医生(20.3%)做出回应,并提供了76581例手术及75例伤口灼伤(每1000例手术中有0.98例)的数据。21处伤口(28%)发生在早期晶状体雕刻阶段,53处伤口(71%)发生在碎片移除阶段。发现伤口灼伤与手术方式(P = 0.003)、超声乳化设备(P = 0.007)和设备设置(P < 0.001)有关。

结论

伤口灼伤仍是一种严重的并发症;然而,技术和手术技巧的进步有所帮助。

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