摘要
目的探讨后房玻璃体中央管穿刺在灌注液迷流综合征中的应用效果。方法对在白内障或透明晶状体超声乳化或手法小切口摘除联合人工晶状体植入手术（以下简称晶状体手术）中遇到的12例灌注液迷流综合征患者，即刻给予后房玻璃体中央管穿刺抽液0．15—0．30ml，并酣晴降低灌注液压力、调整灌注液流向。观察其液体抽取成功率、需抽取液体次数、降压效果，以及可能发生的并发症等。结果12例患者均经1～4次（平均2．58次）后房玻璃体中央管穿刺抽液得以继续在低后房压力、高前房容积情形下顺利完成晶状体手术，未见眼内出血、视网膜脱离等严重并发症发生。结论对在晶状体手术中发生的灌注液迷流综合征患者，后房玻璃体中央管穿刺不失是一种安全、有效、快捷、简便地处理措施，值得临床推广试用。
Objective To discuss the clinical effect of Puncture of Posterior Chamber Central Ca- nal of Stilling in the treatment of Infusion Misdirection Syndrome. Methods Twelve patients with In- fusion Misdirection Syndrome received the treatment of puncture of posterior chamber central canal of stilling （0.15-0.3ml） instantly, which reduced the perfusate pressure and adjust the perfusate afflux ap- propriately in the phacoemulsiflcation and small-incision non-phacoemulsifiation for cataract or transpar- ent lens （Hereinafter referred to as lens surgery）. The successful rate of extracted fluid, the frequency needed of extracted fluid, the effect of pressure reducing and some possible complications were ob- served. Results Although all of the 12 patients had low posterior chamber pressure and high anterior chamber volume, their lens surgery were fulfilled successfully after puncture of posterior chamber cen- tral canal of stilling 1-4 times （2.58 times in average） and without any serious complications such as intraocular hemorrhage, retinal detachment and so on. Conclusions For the lens surgery patients hav- ing infusion misdirection syndrome, puncture of posterior chamber central canal of stilling is a safe, ef- fective, convenient, easy emergency treatment measure. It is worthy of clinical trial.
出处
《中国实用眼科杂志》
CSCD
北大核心
2013年第7期908-911,共4页
Chinese Journal of Practical Ophthalmology
关键词
白内障摘除
手术并发症
高眼压
浅前房
灌注液迷流综合征
后房穿刺
玻璃体
中央管穿刺
Cataract extraction
Surgical complications
Ocular hypertension
Shallow of anteri- or chamber
Infusion misdirection syndrome
Puncture of posterior chamber
Puncture of central ca- nal of Stilling
