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医用透明质酸钠凝胶在玻璃体内异物手术摘除中的应用。

Use of medical sodium hyaluronate gel in surgical removal of a glass intraocular foreign body.

作者信息

Zhang Jun, Mao Hanyan, Zou Xi, Deng Guohua

机构信息

Department of Ophthalmology, The Third People's Hospital of Changzhou, Changzhou, Jiangsu, China.

出版信息

J Int Med Res. 2020 Sep;48(9):300060520956856. doi: 10.1177/0300060520956856.

DOI:10.1177/0300060520956856
PMID:32960120
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7513409/
Abstract

A 38-year-old healthy man presented to our department of ophthalmology after sustaining an ocular injury in a glass explosion more than 10 days prior. A glass intraocular foreign body (IOFB) was found in the left eye. During surgical removal of the IOFB, medical sodium hyaluronate gel was used to detach the IOFB from the retina; this avoided damage to the retina and made it easier for the surgeons to grasp the glass fragment. Multiple surgical instruments have been developed to help remove IOFBs; however, many optic hospitals have limited surgical instruments, thus increasing the difficulty of the operation. The application of sodium hyaluronate gel, a widely used agent, may be a new technique in IOFB surgery.

摘要

一名38岁的健康男子在10多天前的一次玻璃爆炸中眼部受伤后前来我们眼科就诊。在左眼发现了一个玻璃眼内异物(IOFB)。在手术摘除该眼内异物期间,使用医用透明质酸钠凝胶将眼内异物与视网膜分离;这避免了对视网膜的损伤,并使外科医生更容易抓取玻璃碎片。已经研发了多种手术器械来帮助摘除眼内异物;然而,许多眼科医院的手术器械有限,从而增加了手术难度。透明质酸钠凝胶作为一种广泛使用的药剂,其应用可能是眼内异物手术中的一项新技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/c7d245503e17/10.1177_0300060520956856-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/64f31efbba32/10.1177_0300060520956856-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/0428616348d0/10.1177_0300060520956856-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/6017f8c60642/10.1177_0300060520956856-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/465d42d9aa61/10.1177_0300060520956856-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/1e766e065427/10.1177_0300060520956856-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/a61eee42c972/10.1177_0300060520956856-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/c7d245503e17/10.1177_0300060520956856-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/64f31efbba32/10.1177_0300060520956856-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/0428616348d0/10.1177_0300060520956856-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/6017f8c60642/10.1177_0300060520956856-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/465d42d9aa61/10.1177_0300060520956856-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/1e766e065427/10.1177_0300060520956856-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/a61eee42c972/10.1177_0300060520956856-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bfc/7513409/c7d245503e17/10.1177_0300060520956856-fig7.jpg

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本文引用的文献

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Hyaluronan in Medical Practice.医学实践中的透明质酸。
Curr Med Chem. 2016;23(31):3607-3617. doi: 10.2174/0929867323666160824162133.
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Intraocular foreign bodies: A review.眼内异物:综述
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Overlooked retained intraocular foreign body.被忽视的眼内异物残留。
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Management of glass intraocular foreign bodies.玻璃体内眼内异物的处理
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