微切口玻璃体手术的发展与现状

Development and current situation of micro-incision vitrectomy

近年来玻璃体手术技术不断发展与创新，如今已步入微创时代。以25G和23G为代表的微切口玻璃体手术与传统20G手术相比，微切口玻璃体手术具有创伤小、患者术后痛苦小且恢复快等优点，易为手术医师和临床患者所接受。因此有必要就微切口玻璃体手术技术特点、适应证、优点与不足等进行综述，以期与同道交流。（中华腰科杂志，2011，47：762．764）

In recent years, accompanying with the development of principles of minimal invasion and engineering technology, vitreoretinal surgery has entered the new era of minimally invasive surgery with the launching of micro-incision vitrectomy represented by 25G and 23G. This paper reviews the history and development of micro-incision vitrectomy, analyzes the technical features of various types of micro-incision vitrectomy, introduces the related surgical indications, and discusses the advantages and disadvantages of micro-incision vitrectomy. （Chin J Ophthalmol , 2011,47：762-764）