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題名 | 停止與劈刀式晶體乳化術--二年半的經驗=Stop and Chop Phacoemulsification |
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作者姓名(中文) | 吳宗典; 許淑娟; 劉榮宏; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 36:3 1997.09[民86.09] |
頁次 | 頁164-169 |
分類號 | 416.744 |
關鍵詞 | 晶體乳化術; Stop and chop; Phacoemulsification; Lens extraction; Cataract; |
語文 | 中文(Chinese) |
中文摘要 | 我們報告停止與劈刀式( stop and chop )晶體乳化術的手術方法及兩年半的臨 床經驗, 我們自 1994 年 4 月採用停止與劈刀式晶體乳化術進行白內障手術,手術的步驟 是( 1 )首先做環狀前囊切開術,( 2 )晶體水解術,( 3 )中央溝挖掘,( 4 )將晶 體自中央溝分成兩半, ( 5 )將晶體依順時針轉動後,以劈刀式的方法將晶體核劈成適當 的大小,再將其乳化。自 1994 年 4 月到 1996 年 10 月,我們共以此方法手術 516 例, 其中發生後囊破裂有 5 例,而 4 例合併有玻璃體突出( vitreous loss ), 三例是因為 手術時環狀前囊切口不完整, 一例是因為瞳孔太小( 3mm ),另一例則發生在吸除皮質( I/A )時,若以後囊破裂視為失敗,則總成功率為 99% ( 511/516 ),環狀前囊切口不完 整及瞳孔太小是造成手術失敗的主要原因, 手術後一個月,角膜內皮細胞喪失比率為 6.2% 。 |
英文摘要 | Stop and chop phacoemulsificatin is a safe and easy technique. We described the procedure in detail and tried to find the cause of failure. The procedure of stop and chop phacoemulsification are (Ⅰ) central sculp, (2) divide, (3) rotate, and (4) chop and emulsify. We used the procedure in 516 consecutive eyes between April 1994 and October 1996. Posterior capsule rupture occurred in 5 cases (5 eyes). Three cases were due to incomplete capsulorrhexis, one case was due to small pupil (3mm) and one case occurred during cortex aspiration. The endothelial cell loss was 6.2% at postoperative one month. The results indicate that incomplete capsulorrhexis and small pupil are the risk factors of the procedure. Stop and chop is a safe and easy phacoemulsification. |
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