眼内猪囊尾蚴病的手术治疗(附46例手术)

Surgical treatment for 46 cases with ocular cysticercosis

本文总结在我院1981～1994年手术治疗的眼内囊尾蚴病例46例,47只眼。男30例(31只眼),女16例(16只眼),平均年龄35岁,玻璃体内囊尾蚴32例(32只眼),视网膜下囊尾蚴14例(15只眼),包括一例双眼视网膜下各2个囊尾蚴。手术采用三种方法:视网膜下囊尾蚴用囊尾蚴位取出法(15只眼),玻璃体内囊尾蚴分别采用平坦部吸出(22只眼)及玻璃体切割联合平坦部吸出(10只眼),三种方法囊尾蚴取出率分别为93.3%、90.9%、100%,总取出率为93.6%。术后视力增加或不变者分别为50%、45.5%、80%,平均为56.5%。

40 cases (-17 eyes) with ocular cysticcrcosis treated surgically in our hospital in 1981-1994 were reported, including 3(J males (31 eyes)and 1.6 females (1C eyes) and their mean age being 35 years old.Three surgical methods were used: sclerotomy for subretinal cysticercus (15 eyes), pars plana incision with aspiration (22 eyes) and vitrectomy with pars plana aspiration (10 eyes) for intravitreal cysticercus. Their successful rates of cysticercus removal were 93.3%, 90.9% and 100% respectively, with an average of 93.6%, the rates of vision remaining the same or better after surgery were 50%, 45.5% and 80%respectively with an average of 56. 5%. Vitrectomy with pars plana aspiration is the best surgical method.