23G玻璃体切割联合剥膜手术治疗特发性黄斑前膜的手术配合

Operative Cooperation of 23 Gauge Pars Plana Vitrectomy with Internal Limiting Membrane Peeling for Idiopathic Epiretinal Membrane

目的探讨23G微创玻璃体切割联合剥膜手术治疗特发性黄斑前膜的护理配合要点。方法回顾性总结2010年4-9月52例特发性黄斑前膜患者行23G微创玻璃体切割联合剥膜术的临床资料及护理配合。结果 52例患者术后无低眼压及相关并发症,无眼内感染病例,前置镜检查黄斑前膜剥膜成功,所有患者黄斑前膜均消失。结论患者术前心理护理、充分的术前准备、术中密切配合、术后处理及器械维护保养等全面的手术护理配合对于23G微创玻璃体切割手术的成功提供了有力的保证。

Objective To analyze the key points of nursing cooperatlon for idiopathic epireunal membrane （ERM） patients receiving 23 gauge transscleral sultureless vitrectomy （23G TSV）. Methods From April 2010 to September 2010,the clinical data and nursing cooperation in 52 patients（52 eyes）patients received 23G minimally invasive vitrectomy combined with stripping surgery for idiopathic macular epiretinal mem- brane. Results Fifty-two patients completed the surgery without postoperative hypotony,related complica- tions and eye infection. Supplementarylens successfully detected the macular epiretinal membrane stripping and the epiretinal membrane in all patients disappeared. Conclusion Preoperative psychological care, adequate pre- operative preparation, intraoperative close, postoperative management and equipment maintenance and other comprehensive surgical care on 23G minimally invasive vitrectomy guarante successful and effective surgeries.