氰基丙烯酸酯组织粘合剂在小切口白内障手术中的应用。
Use of cyanoacrylate tissue adhesive in small-incision cataract surgery.
作者信息
Alió J L, Mulet M E, Garcia J C
机构信息
Division of Ophthalmology, University of Alicante, Spain.
出版信息
Ophthalmic Surg Lasers. 1996 Apr;27(4):270-4.
BACKGROUND AND OBJECTIVE
A controlled clinical study was performed on three different groups of patients.
PATIENTS AND METHODS
Each patient had a 6.5 mm-wide scleral tunnel with phacoemulsification. Sealing of the incision was done either without suture, with an anchor suture, or with tissue adhesive (cyanoacrylate). The authors observed whatever induced astigmatism was present during the 1st and 12th weeks of the postoperative period.
RESULTS
In the immediate postoperative period, astigmatism was significantly less (P < .01) in the groups of patients with suture and tissue adhesive than in the unsutured group. The results after 12 weeks were similar for the three groups (P > .05), with no complications observed as a result of the use of cyanoacrylate.
CONCLUSION
Cyanoacrylate seems to be a promising innovation in scleral tunnel surgery for cataracts. It is an effective, a quick, and a safe alternative to sutures.
背景与目的
对三组不同患者进行了一项对照临床研究。
患者与方法
每位患者均行6.5毫米宽巩膜隧道超声乳化术。切口封闭分别采用无缝合、锚定缝合或组织黏合剂（氰基丙烯酸酯）。作者观察了术后第1周和第12周出现的任何诱导性散光情况。
结果
术后即刻，使用缝合和组织黏合剂的患者组散光明显少于未缝合组（P < 0.01）。12周后三组结果相似（P > 0.05），使用氰基丙烯酸酯未观察到并发症。
结论
氰基丙烯酸酯在白内障巩膜隧道手术中似乎是一项有前景的创新。它是一种有效、快速且安全的缝合替代方法。
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