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改良式前房积血注吸清除术 被引量:5

Improved methods for clearance of hyphema .
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摘要 目的评价采用白内障注吸针头行前房积血清除术的疗效。方法对56例(56眼)外伤性前房积血伴继发性青光眼(前房积血占前房空间2/3以上)经药物治疗无效者,采用白内障7号注吸针头行上方3mm长的巩膜隧道切口清除前房血块。术中先用黏弹剂充分分离血凝块,然后用白内障7号注吸针头吸出前房血凝块。术后密切观察前房情况、眼压和视力。结果此种方法清除前房血块比较容易,对虹膜和晶状体均无损伤,术后1周前房完全清亮,角膜透明,均无角膜血染发生。54例眼压恢复正常,2例需要药物辅助控制眼压。术后视力明显提高。结论此种术式操作简单,术中安全,术后并发症少,是清除前房积血的有效办法。 Objective To investigate the therapeutic effect of the improved method in hyphema using 7 gauge cataract infusion-suction needle. Methods We washed out the blood used 7 gauge cataract in- fusionsuction needle through selero-tunnel incision in 56 eyes of byphema, which were inefficacy cases treated by drugs. Results This surgery manipulated easy and had no injury to iris and lens. Intraocular pressures, recovered normal in 54 eyes and vision improved. Conclusion The improved method is simple, safe, efficient and has few complication .
作者 蒋浪 何旭红
出处 《眼外伤职业眼病杂志》 北大核心 2005年第8期593-594,共2页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 前房积血注吸清除术 青光眼 白内障注吸针头 hyphema glaucoma cataract infusion-suction needle
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