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題 名 | 使用微切口式手機及文丘里幫浦施行微切口白內障晶體乳化術之臨床經驗=Phacoemulsification with Microincisional Handpiece and Venturi Pumping System--Clinical Experience |
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作 者 | 吳建良; 尤之浩; 何一滔; 沈劍西; | 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185-189 |
分類號 | 416.744 |
關鍵詞 | 微切口式手機; 文丘里幫浦; 白內障晶體乳化術; Phacoemulsification; Incisional leakage; Microincisional handpiece; |
語 文 | 中文(Chinese) |
中文摘要 | 兩組病人各 30 隻眼睛接受白內障晶體乳化術,一組經由 2.5mm 微切口使用 Microincisional 手機與 Venturi 封浦晶體乳化儀,另一組則經由 3.2mm 傳統切口使用一 般手機與隔膜式幫浦晶體乳化儀,所有手術均由同一位醫師執行, 我們比較兩組手術中 BSS 灌流液自切口漏出的量及手術前後角膜內皮細胞數目的變化, 微切口組較傳統切口組 有較少 BSS 輸液自切口漏出( 38.2 ± 10.7ml VS 124.2 ± 34.6ml )以及較少的乳化儀 廢水瓶液量( 67.6 ± 14.2ml VS 162.7 ± 41.3ml ), 角膜內皮細胞數目的減少也較少 ( 4.75 ± 0.61% VS 7.38 ± 0.74% )均達統計上之差異( P<0.05 ),晶體乳化時間在 兩組則未達統計上的差異, 手術中發現 Microincisional 晶體乳化儀系統具較穩定之前房 ,較少的眼內渦流,及晶核較穩定易於操作之優點,此系統提供較接近密閉系統的手術環境 ,配合 Venturi 幫浦可使手術之安全性及可控性提高,對於可折疊式人工晶體也提供未來 發展的方向。 |
英文摘要 | Microincisional handpiece for phacoemulsification was developed for prevention of incisional leakage which might jeopardize the maintenance of close system during operation and increase the posibility of intraoculoar complication. We report our experience of phacoemulsification cataract extraction with posterior chamber IOL implantation on 30 eyes with Microincisional handpiece and venturi pumping system via a 2.5mm incision. The other group of 30 eyes received the same procedure using standard handpiece and diaphragmatic pumping system via a 3.2mm incision. Significantly less intraoperative incisional fluid leakage (38.2 ± 10.7ml vs 124.2 ± 34.6ml) and less fluid volume in the collection bottle of phacoemulsifier (67.6 ± 14.2ml vs 162.7 ± 41.3 ml) were noted in microincisional group. Surgery-induced corneal endothelial cell loss was also significantly less in microincisional group (4.75 ± 0.61% vs 7.38 ± 0.74%). Phacoem-ulsification time has no significant difference between these two groups. Intraoperative observation of more stable anterior chamber, less turbulence flow and increased nucleus followability were noted with microincisional group. Our results sugges that microincisional system is helpful in reducing incisional leakage, decreasing corneal endothelial damage and providing more intraoperative control. This smaller incision also arouses the need for the development of smaller foldable intraocular lens. |
本系統中英文摘要資訊取自各篇刊載內容。