玻璃体切除术巩膜平坦部结膜封闭中纤维蛋白胶与缝线的比较。
Comparison of fibrin glue and sutures for conjunctival closure in pars plana vitrectomy.
作者信息
Mentens Ruth, Stalmans Peter
机构信息
Department of Ophthalmology UZLeuven, Leuven, Belgium.
出版信息
Am J Ophthalmol. 2007 Jul;144(1):128-31. doi: 10.1016/j.ajo.2007.02.038.
PURPOSE
Evaluating whether fibrin glue causes less postoperative pain, discomfort, and sick leave in conjunctival closure following 20-gauge pars plana vitrectomy than sutures.
DESIGN
Retrospective study.
METHODS
A questionnaire was sent in 2006 to 506 patients who underwent 20-gauge pars plana vitrectomy in 2004 at University Hospital, Leuven, Belgium. Postoperative pain, eye discomfort, and sick leave duration were determined.
RESULTS
The patients in the glue group had a shorter duration of eye redness (P = .0471), eye discomfort (P = .0376), and ointment use (P = .0105). The patients in the glue group used less ointment (P = .0038), had shorter sick leave with independent workers (P = .0292), and experienced less pain on the first postoperative day after vitrectomy without cerclage (P = .0340).
CONCLUSIONS
Fibrin glue causes less postoperative pain, discomfort, and sick leave for closure of conjunctival wounds in 20-gauge pars plana vitrectomy than sutures, and therefore, appears in our hands to be a better alternative to sutures.
目的
评估在20G玻璃体切割术后结膜闭合时，纤维蛋白胶是否比缝线引起更少的术后疼痛、不适和病假天数。
设计
回顾性研究。
方法
2006年向2004年在比利时鲁汶大学医院接受20G玻璃体切割术的506例患者发送了一份调查问卷。确定术后疼痛、眼部不适和病假天数。
结果
胶水组患者的眼红持续时间（P = 0.0471）、眼部不适（P = 0.0376）和眼膏使用时间（P = 0.0105）较短。胶水组患者使用的眼膏较少（P = 0.0038），独立工作者的病假天数较短（P = 0.0292），在无环扎玻璃体切割术后的第一天疼痛较轻（P = 0.0340）。
结论
在20G玻璃体切割术中，纤维蛋白胶用于结膜伤口闭合时比缝线引起的术后疼痛、不适和病假天数更少，因此，在我们手中似乎是比缝线更好的选择。
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