在23G无缝合玻璃体切除术中，针注可避免使用缝线并防止低眼压。
Needle infusion avoids using sutures and prevents hypotony in the 23 gauge sutureless vitrectomy.
作者信息
Zhang Yingjie, Zhu Dongqing, Zhou Jibo
机构信息
Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine Shanghai 200011, P. R. China.
出版信息
Int J Clin Exp Med. 2015 Oct 15;8(10):19176-9. eCollection 2015.
Abstract
OBJECTIVE
To investigate the effects of needle infusion on preventing wound leakage and hypotony in sutureless vitrectomy.
METHODS
We retrospectively reviewed 230 consecutive eyes of 23-gauge pars plana vitrectomy with or without needle infusion, and further measured the wound leakage and intraocular pressure (IOP) without using a suture.
RESULTS
In the eyes with primary needle infusion inserted before infusion cannula removal, IOP was stable during and after infusion cannula removal. No suture was needed in the procedure. Postoperative hypotony did not occurred in all eyes with needle infusion either.
CONCLUSION
Needle infusion inserted before infusion cannula removal can avoid using sutures and prevent hypotony intraoperatively and postoperatively.
摘要
目的
探讨在无缝线玻璃体切除术中针内注射对预防伤口渗漏和低眼压的作用。
方法
我们回顾性分析了230例连续行23G经平坦部玻璃体切除术的患眼，术中有无针内注射，并在不使用缝线的情况下进一步测量伤口渗漏和眼压（IOP）。
结果
在拔除灌注套管前先行针内注射的患眼中，拔除灌注套管期间及之后眼压保持稳定。手术过程中无需缝线。所有行针内注射的患眼术后均未发生低眼压。
结论
在拔除灌注套管前进行针内注射可避免使用缝线，并预防术中及术后低眼压。
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