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1
題名:CASE-SERIES STUDY OF 23-GAUGE SUTURELESS VITRECTOMY AND 20-GAUGE VITRECTOMY     (16點)
玻璃體切除手術23號線徑與20號線徑使用上之比較
著者:Tsong-Chi Chang(張聰麒) ;Ching-Chih Liu(柳景豒) ;Shiow-Wen Liou(劉秀雯) ;Ching-Yao Tsai(蔡景耀) ;Chih-Wei Shih(施智偉)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:transconjunctival sutureless vitrectomy ; intraocular pressure ; operating time ; retinal detachment
刊名:中華民國眼科醫學會雜誌
卷期:49卷4期(2010.12)
頁碼:570-577
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:免縫線玻璃體切除術漸漸成為視網膜玻璃 體手術中很重要的一部分。此篇論文統計過去幾年本 院執行玻璃體切除手術使用23 號線徑(23G) 與20 號線徑(20G)安全上及效能上的比較。 方法:我們收集了本院從2006 年至2008 年三年 間由同位醫師執行20G 及23G 玻璃體切除術的比 較,比較的項目有術後結膜紅腫,病患、疼痛感,手術 時間,住院天數,眼壓及術後併發症。 結果:比起20G 我們發現使用23G 術後結膜紅 腫跟疼痛方面有顯著下降,手術時間平均由218 分鐘 縮短為157 分鐘,住院天數平均由8 .0 天縮短為4.6 天。另外術後眼壓在23G 有84 %的病人得到良好的 控制,相對於20G 有95 %得到良好的控制。在術後 的併發症比較上, 23G 相對於20G 術後有較高的視 網膜剝離機會(9 . 1 %比4 . 7%) 。 結論:我們的研究統計發現23G 玻璃體切除術 比起20G 提供較好的病患術後舒適感而且也縮短了 開刀時間跟住院天數。
Background: Sutureless vitrectomy has rapidly become an essential element in vitreoretinal surgery. This study directly compared the relative operative safety and efficacy of the 20-gauge and 23-gauge vitrectomy systems in a regional hospital. Methods: This study was a retrospective, comparative hospital-based study. Clinical data were collected from 120 consecutive vitrectomy cases undergoing either the 20-gauge system or the 23-gauge sutureless vitrectomy from January 2006 to December 2008. The main outcomes were postoperative conjunctival injection or pain , time of surgery, intraocular pressure (IOP), and surgery-related complications. Results: Conjunctival injection and postoperative pain were significantly less following 23-gauge vitrectomy compared to 20-gauge procedure. The mean operation time was significantly shorter (218 vs 157 mins) in the 23-gauge group (p=0.002). The mean length of hospital stay was also shorter in the 23-gauge group (8.0 vs 4.6 days) (p<0.001). Postoperative day 1 IOP was be加r controlled in the 20-gauge group (95% vs 84%, p=0.043). For surgery-related complications, the recurrent retinal detachment rate was higher in patients with complicated retinal detachment treated with the 23-gauge system (9.1 % vs 4.7%, p=0.1 09). Conclusion: In our study, the 23-gauge system for par plana vitrectomy offers greater patient comfort postoperatively, shorter operation time and less hospitalization.


    

本卷期目次
中華民國眼科醫學會雜誌 49卷4期 (2010.12)
治療葡萄膜炎兔疫抑制藥物依實證醫學之使用原則:至2009 年相關文獻回顧第三部份:新一代治療葡萄膜炎之生物製劑/ 張文瑞陳肇寅陳冠任賴旗俊吳為吉王南凱黃奕修
從small incision 到micro incision phacoemulsification──我的個人經驗/ 黃維仁
自費人工水晶體──開業醫師如何避兔和面對不高興的病人/ 潘志勤
白內障手術──瞳孔散不大怎麼辦/ 劉瑞玲
DEEP ANTERIOR LAMELLAR KERATOPLASTY IN THE EARLY PHASE OF LEARNING CURVE/ Sheng-Chi YangSung-Huei Tseng
FIBRIN GLUE-ASSISTED CONJUNCTIVALAUTOGRAFTING IN PTERYGIUM SURGERY/ Yi-Hsun HuangSung-Huei TsengYing-Ting Chen
BEVACIZUMAB PRETREATMENT IN VITRECTOMY FOR SEVERE PROLIFERATIVE DIABETIC RETINOPATHY/ Jia-Kang Wang
CASE-SERIES STUDY OF 23-GAUGE SUTURELESS VITRECTOMY AND 20-GAUGE VITRECTOMY/ Tsong-Chi ChangChing-Chih LiuShiow-Wen LiouChing-Yao TsaiChih-Wei Shih
CLINICAL EXPERIENCES IN BLEPHAROCHALASIS SYNDROME/ Yi-Lin Liaoshih-Ming JungYen-Chang ChuShu-Ya WuYueh-Ju TsaiLih Ma
內斜視手術術後連貫性外斜視之手術結果/ 薛珮吟郭雅慧楊孟玲賴慧群黃鐘瑩高玲玉林耕國鄭涵之
ROSACEA KERATITIS WITH CORNEAL PERFORATION: 2-CASE REPORT/ Yun-Ju ChenI-Jong WangWei-Li ChenFung-Rong HuYu-Chih Hou
EARLY POSTOPERATIVE CAPSULAR BLOCK SYNDROME──A CASE REPORT/ Hsin-Hsing LaiI-Mo Fang
ACUTE POSTCATARACT ENDOPHTHALMITIS CAUSED BY COAGULASE-NEGATIVE STAPHYLOCOCCUS LUGDUNENSIS/ Yow-Jia HuangLung-Kun YehChi-Chun LaiTun-Lu ChenAn-Ning ChaoKuan-Jen Chen
DISINSERTION OF INFERIOR OBLIQUE MUSCLE FOR REPAIR OF ORBITAL FLOOR AND MEDIAL WALL FRACTURE VIA TRANSCARUNCULAR AND INFERIOR FORNICEAL APPROACH──A CASE REPORT/ Shin-Yi ChenYueh-Ju TsaiLih MaShu-Ya WuYen-Chang Chu
PHOTOREFRACTIVE KERATECTOMY TREATMENT FOR MYOPIA AND CONCOMITANT CORNEAL SCAR AFTER FUNGAL KERATITIS/ Ya-Chun ChuangYih-Shiou HwangDavid Hui-Kang MaKen-Kuo LinHung-Chi Jesse Chen
INTRAVITREAL TRIAMCINOLONE FOR PURTSCHER'S RETINOPATHY──A CASE REPORT/ Ying-Ying YangLing YeungLan-Hsin ChuangWan-Chen KuChi-Chin SunKo-Jen Yang
CRYPTOCOCCAL MENINGOENCEPHALITIS : AN ATYPICAL PRESENTATION WITH DIPLOPIA./ Ya-Cheng ChuangChi-Wu ChangChi-Chen LiouMay-Lin peng
 
   
 
   

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