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改良睫状体缝合术治疗外伤性睫状体脱离39例临床分析 被引量:13

Clinical analysis of an improved suturing technique of traumatic cyclodialysis
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摘要 目的 评价改良睫状体缝合复位术治疗外伤性睫状体脱离的临床效果。方法 回顾性分析 39例外伤性睫状体脱离改良缝合复位术治疗的临床资料 ,并对有关数据进行了统计学分析。术前通过房角镜和 (或 )超声生物显微镜 (UBM)确定睫状体脱离的位置和范围。结果 患者术后观察 3~ 6个月 ,视力恢复≥ 0 3者 2 1例 ,87 2 %的患者眼压提高到 8~ 2 1mmHg ,大部分前房变深或正常 ,眼底有不同程度的改善。结论 改良睫状体缝合复位术治疗外伤性睫状体脱离疗效满意 ;UBM是明确诊断睫状体脱离的有力工具。 Objective To evaluate the result of an improved suturing technic to replace ciliary body in traumatic cyclodialysis. Methods 39 cases diagnosed by gonioscope and ultrasound biomicroscope (UBM) as traumatic cycodialysis were surgically treated, and the relative parameters were retrospectively analyzed statistically. Results 3-6 months after the operation, the vision of 21 patients (87.18%) was improved over 0.3, and the intraocular pressure (IOP) increased and maintained at 8-21mmHg in 87.2% cases. The anterior chamber was deepened or returned to normal, and the fundus was improved to various degrees in the majority of patients. Conclusion The improved direct suturing was an effective method for traumatic cyclodialysis, and UBM could be used to make a definite diagnosis of cycodialysis.
作者 张颖 张卯年
出处 《解放军医学杂志》 CAS CSCD 北大核心 2005年第2期111-113,共3页 Medical Journal of Chinese People's Liberation Army
基金 全军"十五"医学科研面上项目资助课题 (编号 0 1MA1 1 3)
关键词 睫状体脱离 睫状体缝合复位术 超声生物显微镜 cyclodialysis/ciliary body detachment suturing reattachment operation of ciliary body ultrasound biomicroscope
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