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題名 | 改良式停止和劈刀式晶體乳化術=Modified "Stop and Chop" Phacoemulsification |
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作者姓名(中文) | 吳宗典; 許淑娟; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 40:2 2001.06[民90.06] |
頁次 | 頁140-145 |
分類號 | 416.703 |
關鍵詞 | 停止和劈刀式; 晶體乳化術; 白內障; Phacoemulsification; Stop and chop; Cataract; Lens extraction; |
語文 | 中文(Chinese) |
中文摘要 | 停止和劈刀式晶體乳化術是一種安全且簡單的方法,它的手術方法是(1)中央溝挖掘(2)將晶體核分成兩半(3)轉動核90°(4)進行劈刀式晶體乳化術。我們發現在某些病人,被分成兩半的核是不易轉動;為使核易於轉動,我們改變手術的順序,如下:(1)中央溝挖掘(2)先將整個核轉動(3)再將核分為兩半(4)進行吳式劈刀法。我們的劈刀法是由核前向後再向中央將核劈開,而不是由核邊緣向中央將核劈開,它的好處是可用以於小朣孔的白內障。使用這種方法的前五百病人中,產生後囊破裂有6個病人,造成後囊破裂的主要原因為不完整的環狀前囊切口,另一例可能是環狀前囊切口太小,且偏下方所引起。我們認為這種方法既簡單且安全。 |
英文摘要 | "Stop and Chop" phacoemulsification is a safe and easy technique. The procedures of "Stop and Chop" phacoemulsification are (1) central sculpt, (2) divide, (30 rotate 90 degrees, and (4) chop and emulsify. We find that in some cases, the divided mucleus is difficult to rotate. We change the sequence of procedures as the followings: (1) central sculpt, (2) rotate 90 degrees, (3)divide, and (4)chop and emulsify by our methods. The modification makes the nucleus rotation easily. The direction of our chop is "from anterior to posterior" not "from equator to center". This change makes it useful in small pupil cases. The technique was used in 500 consecutive patients. Posterior capsule rupture occurred in 6 cases. Five cases were due to incomplete capsulorrhexis, one case was due to small pupil (3mm). The technique makes phacoemulsification become safe and easy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。