本文選題：巨大裂孔視網(wǎng)膜脫離　切入點(diǎn)：玻璃體切割術(shù)　出處：《眼科新進(jìn)展》2017年10期 　論文類型：期刊論文

【摘要】：巨大裂孔視網(wǎng)膜脫離(giant retinal tear,GRT)是指引起視網(wǎng)膜脫離的裂孔范圍在環(huán)形方向上≥3個(gè)鐘位(1個(gè)象限)伴有裂孔后緣不同程度翻轉(zhuǎn)的視網(wǎng)膜裂孔。隨著科技的發(fā)展,GRT的手術(shù)成功率大大提高。吊頂燈的應(yīng)用,可以使術(shù)者完成雙手操作,23G、25G、27G等顯微技術(shù)的應(yīng)用可以方便器械進(jìn)出,使手術(shù)操作范圍增加。眼科內(nèi)鏡的應(yīng)用,可以減少屈光間質(zhì)對(duì)手術(shù)的影響。術(shù)前眼內(nèi)藥物的應(yīng)用,可以做好術(shù)前準(zhǔn)備。但是,是否需要聯(lián)合鞏膜扣帶術(shù),是否需要術(shù)中摘出晶狀體,以及對(duì)翻轉(zhuǎn)、僵硬的視網(wǎng)膜的手術(shù)方式的選擇還存有不同觀點(diǎn)。本文從GRT的發(fā)病機(jī)制、手術(shù)方式、術(shù)中和術(shù)后填充物等方面的現(xiàn)狀及進(jìn)展做一綜述。
[Abstract]:Giant retinal detachment (retinal) is a retinal hole with a range of more than 3 clock positions (1 quadrant) in the annular direction and varying degrees of reversal of the posterior edge of the hole. With the development of science and technology, the development of the retinal detachment of the retina means that the range of the retinal detachment is more than 3 clock positions (1 quadrant) in the annular direction. The successful rate of operation is greatly improved. The application of microsurgical techniques such as 23 GG, 25 GG, 27G and so on can facilitate the entry and exit of instruments and increase the scope of operation. The application of ophthalmic endoscopy can reduce the effect of diopter stroma on the operation, and the application of intraocular drugs before operation. However, there are still different views on the need for combined scleral buckling, lens extraction, and the choice of surgical methods for turning over and inflexible retina. This article is based on the pathogenesis of GRT. The present situation and progress of surgical methods, intraoperative and postoperative fillings are reviewed.
【作者單位】： 廣西醫(yī)科大學(xué)附屬第一醫(yī)院眼科;
【分類號(hào)】：R779.6
，

本文編號(hào)：1568198