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[囊外流体动力学与冲洗吸引套管。模型观察]

[Extracapsular fluid dynamics and suction-irrigation cannulas. A model observation].

作者信息

Brandl H, Hindelang F, Hardt F J, Fath H

机构信息

Flugmedizinisches Institut der Luftwaffe, Fürstenfeldbruck.

出版信息

Ophthalmologe. 1993 Aug;90(4):376-9.

PMID:8374237
Abstract

The ECCE technique often requires additional removal of lens residues remaining attached to the capsular bag after lens nucleus extraction. These residual lens substances in the form of a visco-elastic fluid are detached and removed by means of various types of irrigation-aspiration cannulas. During the aspiration process the elastic properties of the fluid are utilized. The aim of the investigations presented was modification and optimization of the geometric design of the irrigation-aspiration cannulas to improve the flow efficiency, facilitate the detachment and reduce the amount of rinsing fluid required. The fluid mechanic properties of various type of irrigation-aspiration cannulas were investigated and compared in an eye model. Some of the commercially available irrigation-aspiration cannulas give good results, being convenient to handle and functional. Our experimental data indicate that canalization of the rinsing fluids and the special location of the irrigation-aspiration openings will improve the flow-field. An adjustable valve has been developed, which enables safe aspiration/irrigation changeover if it should be necessary. Two models of the newly designed irrigation-aspiration probes are presented and discussed.

摘要

囊外白内障摘除术(ECCE)通常需要在晶状体核摘除后额外清除附着在囊袋上的晶状体残留物。这些呈粘弹性流体形式的残留晶状体物质通过各种类型的灌注-抽吸套管进行分离和清除。在抽吸过程中,利用了流体的弹性特性。本文所呈现的研究目的是对灌注-抽吸套管的几何设计进行改进和优化,以提高流动效率、便于分离并减少所需的冲洗液量。在眼模型中研究并比较了各种类型灌注-抽吸套管的流体力学特性。一些市售的灌注-抽吸套管效果良好,操作方便且功能齐全。我们的实验数据表明,冲洗液的管道化以及灌注-抽吸开口的特殊位置将改善流场。已开发出一种可调节阀门,如有必要,可实现安全的抽吸/灌注转换。介绍并讨论了新设计的灌注-抽吸探头的两种型号。

相似文献

1
[Extracapsular fluid dynamics and suction-irrigation cannulas. A model observation].[囊外流体动力学与冲洗吸引套管。模型观察]
Ophthalmologe. 1993 Aug;90(4):376-9.
2
[Introduction of an aspiration-irrigation-reflow system with a special handle for extracapsular cataract operation].[一种用于囊外白内障手术的带有特殊手柄的抽吸-冲洗-回流系统的介绍]
Klin Monbl Augenheilkd. 1989 Jul;195(1):37-8. doi: 10.1055/s-2008-1046411.
3
Lens cortex irrigation/aspiration in extracapsular cataract extraction.囊外白内障摘除术中晶状体皮质的冲洗/抽吸
Ophthalmic Surg. 1984 Nov;15(11):926-9.
4
Modification of an irrigation/aspiration handpiece to provide visual and tactile orientation of the aspiration port.对冲洗/抽吸机头进行改良,以提供抽吸口的视觉和触觉定位。
Ophthalmic Surg. 1987 Dec;18(12):906-7.
5
[A simplified drainage/irrigation system for extracapsular cataract extraction].[一种用于囊外白内障摘除术的简化引流/冲洗系统]
Klin Monbl Augenheilkd. 1984 Mar;184(3):238-9. doi: 10.1055/s-2008-1054454.
6
[Device for aspiration and irrigation of the crystalline lens mass in extracapsular cataract extraction].[用于囊外白内障摘除术中晶状体物质抽吸和冲洗的装置]
Vestn Oftalmol. 1985 May-Jun;101(3):22-3.
7
Microsurgical angulated irrigation and aspiration needle and handle.显微外科成角冲洗吸引针及手柄。
Ophthalmic Surg. 1979 Sep;10(9):35-6.
8
Aspiration adaptor for Cavitron unit.
Ophthalmic Surg. 1984 May;15(5):409-10.
9
[An electronically guided peristalsis pump with an irrigation and suction cannula for extracapsular cataract extraction].[一种带有冲洗和吸引套管的电子导向蠕动泵,用于白内障囊外摘除术]
Klin Monbl Augenheilkd. 1983 Feb;182(2):167-9. doi: 10.1055/s-2008-1054740.
10
The Fink-Weinstein syringe combined with Kelman irrigation-aspiration handpiece: a tool for extracapsular surgery.芬克-温斯坦注射器与凯尔曼灌吸机头联合使用:一种囊外手术工具。
Ophthalmic Surg. 1980 Sep;11(9):640.