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題名:不同形狀之鞏膜瓣其縫線位置對小樑切除術後雷射拆線之影響     (14點)
THE INFLUENCE OF THE SUTURE IN DIFFERENT SCLERAL FLAP SHAPES ON IOP CHANGE AFTER POST-FILTERING LASER SUTURELYSIS
著者:陳純貞(Chun Chen Chen) ;王泰元(Tai-Wen Wang) ;劉秀雯(Shiow-Wen Liou)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:filtering surgery ; scleral flap ; tension ; laser suture Iysis
刊名:中華民國眼科醫學會雜誌
卷期:41卷1期(2002.3)
頁碼:44-50
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

我們收集1996 年12 月到1997 年10 月間,接受小樑切除術的病 人;採用兩種形狀之鞏膜瓣(圓形及長方形)。依縫線位置分成兩組, 第一組縫線是在相鄰兩條縫線之連線上(即長方形鞏膜瓣之ABC 縫 線),第二組縫線是不在兩縫線之連線上(即圓形鞏膜瓣之ABC 縫線) ; 記錄拆線後眼壓下降的情形,並比較兩組降壓之效果O 病人之平均年 齡64 歲,共有53 隻眼睛,術後沒拆線有9 隻眼睛,拆線的眼睛中長 方形鞏膜瓣有24 隻眼(拆了33 日民次) ,圓形鞏膜瓣有20 隻眼(拆了29 眼次);拆線位置符合第一組縫線有28 條,第二組縫線有34 條O 拆線 後兩組眼壓下降之效果沒有很大的差異(p>O.OI) ,推測其原因可能有鞏 膜瓣的變形、拆線的技巧、術後發炎等等,而且圓形鞏膜瓣之縫線亦 無拆線後眼壓逐漸下降之效果;但若能克服這些人工操作之技巧問 題,或許可以顯現不同縫線之拆線效果O
Purposes: to COll1p訂e the effect of the different suture between two shapes of scleral flap (square and circular) and s叫你the result oflaser suture lysis. Mateials and ll1ethods: Forty-six prill1ary open angle glaucoll1a patients were enrolled in the study and randoll1ly assigned to undergo filtering surgery with square or circular scleral flap. The eyes were divided into two groups according to different suture location in the scleral flap. Group 1 sutures were 10- cated in the line connected by two neighboring 印刷的, i.e. A 、 B 、C sutures in square scleral flap; group 2 sutures were not located in the line connected by two neighboring sutures, i.e. A 、B 、C sutures in circular scleral flap. Intraocular press叮e reduction after suturelysis was recorded and cOll1pared between two groups. Results: After suture-lysis, intraoc叫ar pressure reduction in group 1 sutures was not significantly different frOll1 group 2 sutures (p>O.OI). Gradual decrease of IOP was not discovered in two groups. Conclusions: Intraocular pressure reduction was sill1ilar in different location of sutures after su個re lysis between two groups. The reason ll1ight be due to s趾血kage of scleral flap, technique of suture lysis and postoperative in日aß1ll1atlOn.


    

本卷期目次
中華民國眼科醫學會雜誌 41卷1期 (2002.3)
白內障手術的新發展/ 翁林仲王孟祺
流體動力學在超乳手術中的臨床應用/ 李德孝
因白內障手術球後麻醉注射所造成之垂直性斜視/ 沈秉衡何建賢
THE RATE OF VASCULARIZATION OF HYDROXYAPATITE IMPLANT BY USING DIFFERENT KIND OF WRAPPED MATERIALS/ Sheng-Min HsuShu-Lang LiaoPing-Kang HouMuh-Shy Chen
ENDOSCOPIC BROW AND FOREHEAD LIFTS/ Chun-Ju Lin, MDShu-Lang Liao, MDJieh-Ren Jou, MDPing-Kang Hou, MDMuh-Shy ChEN, MD
COMPARISON OF MEDICAL AND SURGICAL TREATMENT IN ADVANCED GLAUCOMA/ Min-Hui WUShami Shi-Huang Lee
CENTRAL CORNEAL THICKNESS IN NORMAL SUBJECTS/ Yi-Ting FangChih-Chiau WuShui-Mei LeeTse-Shiang YehPei-Yu LinKu-Hua ChenWen-Ming Hsu
以高透氧硬式隱形眼鏡矯正圓錐角膜/ 林耕國李建興陳賢立蕭靜熹林彥君
小兒白內障的處理/ 梁有松
不同形狀之鞏膜瓣其縫線位置對小樑切除術後雷射拆線之影響/ 陳純貞王泰元劉秀雯
早產兒視網膜病變之臨床篩檢及觀察/ 楊昌叔陳淑貞李鳳利許紋銘劉榮宏
台北市兩所中學學生對近視情況了解之調查/ 周文穎劉寬鎔林隆光潘玟利施永豐
INTRAOCULAR LYMPHOMA──A CLINICOPATHOLOGICAL ANALYSIS OF THREE CASES/ Wi11iam Chen-Yen ChenHenry Shen-Li ChenHoward Wen-Hao Lee
挑戰不可能的任務──如何克服複雜性白內障手術的障礙/ 何一滔
子癲前症引發視網膜剝離之病例報告/ 何建賢潘世強
牽牛花症候群合併脈絡膜新生血管──病例報告/ 張麟朝莊朝傑高玲玉
家族性兩眼黃斑部缺損/ 方怡謨陳慕師
甲醇引起的眼睛毒性──病例報告/ 游高魁沈劍西尤之浩楊中美
 
   
 
   

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