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目的探讨一次性输血器在23G硅油取出术中的应用。方法通过一次性输血器行23G硅油取出术的患者42例(42眼),比较手术前后的视力、眼压变化,记录术后并发症发生情况。结果手术时间5~16(8.2±3.1)min。术后1d的眼压较术前和术后1周降低[(11.47±3.10)mmHg vs.(17.69±6.15)mmHg和(15.64±2.73)mmHg](P<0.01)。术后3个月,最佳矫正视力30眼(71%)有提高,12眼(29%)无改变,无视力下降者。1例术后2周视网膜脱离复发,1例术后2个月玻璃体积血,2例硅油滴残留。结论通过一次性输血器行23G硅油取出术具有安全、高效、经济等特点。
Objective To investigate the application of disposable blood transfusion in removal of 23G silicone oil. Methods Forty-two patients (42 eyes) with 23G silicone oil removed by disposable blood transfusion were retrospectively analyzed. The changes of visual acuity and intraocular pressure before and after surgery were compared. The incidence of postoperative complications was recorded. Results The operation time ranged from 5 to 16 (8.2 ± 3.1) min. Intraocular pressure at 1 day after operation was lower than that before operation and one week after operation [(11.47 ± 3.10) mmHg vs. (17.69 ± 6.15) mmHg and (15.64 ± 2.73) mmHg respectively] (P <0.01). At 3 months after surgery, the best corrected visual acuity was improved in 30 eyes (71%), no change in 12 eyes (29%), and no decrease in visual acuity. One case had retinal detachment recurrence 2 weeks after operation, one case had vitreous hemorrhage 2 months after operation, and 2 cases had residual silicone oil droplets. Conclusion It is safe, efficient and economical to remove 23G silicone oil through disposable blood transfusion device.