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自1962年Cibis首次报道用硅油成功治疗复杂性视网膜脱离以来,虽已有近40年历史,但由于其产生诸多并发症,只是近10余年来随着显微玻璃体视网膜手术的发展,注油操作技巧的不断改进,硅油的临床应用才为大家所接受。我国近几年来,随着玻璃体手术的普及,使用硅油的单位也逐渐增多。为安全有效的应用硅油,减少其严重的并发症。根据我们临床应用的一些体会,提出以下有关问题与已经或即将使用硅油的同道进行交流。一、硅油的理化特性临床应用医用硅油为聚二甲基硅氧烷,由硅原子和氧原子交替结合而成,硅原子上带有两个甲基有机原子团,硅氧烷链越长则粘度越大。临床常用
Since Cibis first reported in 1962 the successful treatment of complex retinal detachment with silicone oil has been nearly 40 years of history, but because of its many complications, but the past 10 years with the development of microscopic vitreoretinal surgery, oiling operation skills The continuous improvement of the clinical application of silicone oil was accepted by everyone. In recent years in our country, with the popularity of vitreous surgery, the use of silicone oil unit is also gradually increased. For the safe and effective use of silicone oil to reduce its serious complications. According to some of our clinical experience, put forward the following issues related to the same or have been about to use silicone oil exchange. First, the physical and chemical characteristics of silicone Clinical application of medical silicone oil polydimethylsiloxane, silicon atoms and oxygen atoms alternately combined with silicon atoms with two methyl organic radicals, the longer the siloxane chain, the viscosity The bigger Common clinical