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題名 | 連續性劈裂與壓碾方式之晶體乳化術的臨床經驗=The Clinical Experience of Continuous Chopping & Crushing Phacoemulsification |
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作者姓名(中文) | 林漢宗; 沈劍西; 尤之浩; 何一滔; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 37:3 1998.09[民87.09] |
頁次 | 頁256-261 |
分類號 | 416.703 |
關鍵詞 | 劈裂與壓碾; 晶體乳化術; Chopping & crushing; Phacoemulsification; Nucleofractis; |
語文 | 中文(Chinese) |
中文摘要 | 採用連續性劈裂與壓碾方式(continuous chopping & crushing)的晶體乳化術進行白內 障手術可維持手術之安全並且簡單易學。本手術方式步驟為:(1)連續圓形前囊撕開(continuous circular capsulorrhexis) (2)水力分割晶核術(hydrodissection & hydrodelamination) (3)中央雕琢 (central sculping) (4) 將晶核劈裂分成兩半(chop) (5)順時針旋轉晶核,連續性劈出小塊晶核並 將其壓碾碎後乳化吸出(chopping & crushing)。我們收集1994年1月至6月共60例單純老 年性白內障,其中30例採用divide & conquer手術方式;另30例採用continuous chopping & crushing手術方式。結果顯示:施用本手術方法會比採用divide & conquer方式縮短術中超 音波使用時間(p<0.01),同時可減少術後角膜內皮細胞的流失率(6.1% vs. 7.0%, 0.01<p<0.02)。 |
英文摘要 | Continuous chopping and crushing phacoemul-sification are safe and easy techniques. The procedures of continuous chopping & crushing phacoemulsification are L1) continuous circular capsulorrhexis, (2) hydrodissection & hydrodelamination, (3) central sculpting or chopping directly then divide, (4) rotate, (5) chopping and crushing then emulsify. We used this procedure in 30 eyes of smiple senile cataract and used divide & conquer procedure in other 30 simple senile cataract eyes for comparison between January 1994 and June 1994. The results indicate that using the procedure of continuous chopping and crushing can shorten the operative phaco time (p<0.01) and may decrease the loss rate of corneal endothelial cells (6.1% vs. 7.0%, 0.01<p<0.02). |
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