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套管针玻璃体切割系统对医源性巩膜穿刺视网膜裂孔发生情况的影响。

Influence of the cannulated vitrectomy system on the occurrence of iatrogenic sclerotomy retinal tears.

作者信息

Territo C, Gieser J P, Wilson C A, Anand R

机构信息

Medical College of Pennsylvania, Hahnemann School of Medicine, Allegheny University of the Health Sciences, Philadelphia 19102, USA.

出版信息

Retina. 1997;17(5):430-3. doi: 10.1097/00006982-199709000-00011.

Abstract

PURPOSE

To determine whether the use of the cannulated vitrectomy system decreases the incidence of sclerotomy-related retinal tears relative to traditional vitrectomy techniques.

METHODS

Forty-one eyes of 77 patients in this study were randomly selected to undergo treatment with the cannulated port system.

RESULTS

We demonstrated a statistically significant decreased incidence of sclerotomy tears in the cannulated group relative to the noncannulated group (1% vs. 7.7%, P < 0.05). The benefit of the cannulated port system appears to be greatest in cases in which an inexperienced surgeon is learning the techniques of vitreoretinal surgery, in eyes with a preoperative diagnosis of tractional diabetic detachment, and in surgery requiring membrane delamination (simple and extensive).

CONCLUSION

The three-port vitrectomy system decreases the incidence of sclerotomy-related retinal tears.

摘要

目的

确定与传统玻璃体切除术技术相比,使用套管玻璃体切除系统是否能降低巩膜切开相关视网膜裂孔的发生率。

方法

本研究中77例患者的41只眼被随机选择接受套管端口系统治疗。

结果

我们证明,与非套管组相比,套管组巩膜切开裂孔的发生率在统计学上显著降低(1%对7.7%,P<0.05)。套管端口系统的益处似乎在以下情况中最为明显:经验不足的外科医生正在学习玻璃体视网膜手术技术时、术前诊断为牵引性糖尿病性视网膜脱离的眼中以及需要进行膜分层(简单和广泛)的手术中。

结论

三端口玻璃体切除系统可降低巩膜切开相关视网膜裂孔的发生率。

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