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題名:SURVEY OF INDICATIONS AND RESUL TS OF VITREORETINAL SURGERY IN A REGIONAL HOSPITAL     (12點)
一區域醫院視網膜手術之適應症與結果之臨床分析
著者:Chang-Sue Yang(楊昌叔) ;Ching-Yao Tsai(蔡景耀) ;Ting-Jia Chang(張庭嘉) ;Lin-Chung Woung(翁林仲)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Pars plana vitrectomy ; retinal detachment ; vitreoretinal surgery ; vitreous hemorrhage
刊名:中華民國眼科醫學會雜誌
卷期:42卷4期(2003.12)
頁碼:391-396
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:我們研究分析在臺北市一區域醫院眼科施 行視網膜手術之適應症、結果及其併發症。 方法:藉回溯性分析病患病歷,自2001 年10 月 至2002 年11 月之間,收集在臺北市立中興醫院眼科 接受視網膜手術的病患。我們研究分析其施行視網膜 手術之適應症、結果及併發症。 結果:共收集的例病患(87 眼) ,其中男性52 例,女性31 例,年齡自2 歲至82 歲(平均53.7 歲)。 術後追蹤時間從六個月至十九個月,平均十三點四個 月。 手術適應症包括,玻璃體出血(46.0%) 、裂孔性視網 膜剝離(26.4%)、牽引性視網膜剝離(5.7%) 、殘留玻璃 體內晶體碎片(4.6%) 、黃斑部出血(4.6%)等。 視網膜剝離第一次手術後,視網膜成功回貼率 78 .3%(1 8/23) , 第二次手術成功率100%(23123) 。玻璃 體出血的病因包括,糖尿病視網膜病變32 眼 (82.5%) 、視網膜靜脈阻塞(1 0.0%) ,老年性黃斑部退 化(2.5%) 。視網膜手術後視力進步或穩定者有67 眼 (77%) ,退步20 眼(23%) 。手術併發症包括,眼內壓 增加(33.3%) 、漸進性水晶體混濁(20.3%) 、殘餘或再 發性玻璃體出血(4.6%) 、視網膜裂孔(5.7%) ,及新生 血管陸青光眼、眼內炎各一例。 結論:本篇研究顯示在區域醫院可成功施行視網 膜手術。大部分病患在視網膜手術後視力進步或穩 定。
Purpose : To survey the indications and results of vitreoretinal surgery in a regional hospital, Taipei Municipal Chung-Hsin Hospital. Methods : We r,昀et廿rospective叫Iy reviewed the medical records of patients who underwent 吋vi扯tr陪e。叮r剖eti泊n刮aI surgery 怕in 布Ti'a恥ip副ei Municipal Cαhun呵1明g Oct. 2001 to Nov. 2002. The indication, result and complicaition of vitreoretinal surgery were analysed. Results : There were total 87 eyes of 83 patients enrolled in this study. The mean follow up period was 12.4 months (range 6 to 19 months). The indications of vitreoretinal surgery included non-clearing vitreous hemorrhage (46.0%), rhegmatogenous retinal detachment (26.4%), tractional retinal detachment (5.7%), retained lens fragment after phacoemulsification cataract operation (4.6%), submacular hemorrhage (4.6%), idiopathic macular hole (1.1 %). The post-operative visual acuity was improved or stationary in 67 eyes (77%), worse in 20 eyes (23%). The reattachment rate after the first retinal detachment surgery was 78.3% (18/23), the final attachment rate was 100% after second operation. The causes of non-clearing vitreous hemorrhage were proliferative diabetic retinopathy in 32 eyes (82.5%), retinal vein occlusion (10.0%), agerelated macular degeneration (2.5%). The operative complications included transient elevation of intraocular pressure (IOP) in 29 eyes (33.3%), cataract in 20 eyes (20.3%), recurrent vitreous hemorrhage in 4 eyes (4.6%), iatrogenic retinal break in 5 eyes (5.7%), neovascular glaucoma and post-operative endophthalmitis in one eye each. 、 Coclusions Vitreoretinal surgery is technically feasible in a regional hospital of Taipei city. Most patients of retinal diseases achieved improved or stationary vision after surgery in the current study.




本卷期目次
中華民國眼科醫學會雜誌 42卷4期 (2003.12)
SURVEY OF INDICATIONS AND RESUL TS OF VITREORETINAL SURGERY IN A REGIONAL HOSPITAL/ Chang-Sue YangChing-Yao TsaiTing-Jia ChangLin-Chung Woung
出血性結膜炎腺病毒和科沙奇病毒感染血管內皮細胞/ 張丞賢許明木高英賢林貴香
糖尿病整體照護──視網膜病變篩檢流程之評估/ 謝瑞玟陳立仁韋熙
MARGINAL CORNEAL ULCER AFTER CATARACT SURGERY IN PATIENT WITH RHEUMATOID ARTHRITIS/ Hsuei-Yuh LuTing-Wen Wang
FLAP SUTURING TO TREAT RECALCITRANT FLAP STRIAE AFTER LASER IN SITU KERA TOMILEUSIS/ Ming-Cheng TaiJen-Chieh LiuDa-Wen Luand Cheng-Jong Chang
JUVENILE RETINOSCHISIS──CASE REPORT/ Shih-Yu ChouDer-Chong TsaiFenq-Lih LeeWen-Ming Hsu
CHALCOSIS OCULI──A CASE REPORT/ Chien-Liang WuChien-Ming LiaoChung-May YangAi-Ho Wang
雷射角膜層狀塑型術後瀰漫性層狀角膜炎之病例報告/ 沈應誠馮士釗李怡芬
 
   
 
   

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