切口缘微量自血在白色白内障连续环形撕囊中的应用被引量：1

Application of small dose of autologous blood on incision margin in cataract continuous circular capsulorhexis

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摘要目的探讨球结膜切口缘微量自体血(自血)在白色白内障连续环形撕囊中的作用、安全性、有效性及手术技巧。方法 80例(120眼)行白内障超声乳化术中的白色白内障患者,在前房注入少量粘弹剂后,利用1 ml注射器连接5号平针头吸取结膜切口处的微量出血,注入前房前囊膜表面并轻按摩数秒钟,继续前房内注入粘弹剂充盈前房,并压迫微量血液平铺于前房撕囊区前囊膜表面,利用染色囊膜与囊膜下皮质的颜色区别常规完成连续环形撕囊,观察手术效果。结果 80例(120眼)均顺利完成连续环形撕囊,术中无一例因前囊瓣迷失而中断撕囊。结论白色白内障连续环形撕囊中应用切口缘微量自血前囊膜染色具有原位取材、操作简便、效果确切的特点,在白色白内障术中可酌情选用。 Objective To investigate effect, safety, effectiveness and operational skill of small dose of autologous blood on incision margin in cataract continuous circular capsulorhexis.Methods A total of 80 （120 eyes） patients in cataract phacoemulsification operation received anterior chamber injection of small dose of viscoelastic substance. Small dose of autologous blood in conjunctival incision was taken by 1 ml injector connecting with No. 5 flat needle, then the blood was injected into anterior capsule membrane surface, followed by mild massage for several minutes. Injection of viscoelastic substance continued till fully oppress blood on capsule membrane surface of anterior chamber capsulorhexis area. Different color between dyeing capsule membrane and capsule hypopallium was applied for continuous circular capsulorhexis. Their operation effects were observed. Results All the 80 cases （120 eyes） received successful continuous circular capsulorhexis, and no case had suspended capsulorhexis due to lost anterior capsule.Conclusion Application of small dose of autologous blood on incision margin in cataract continuous circular capsulorhexis contains advantages of autologous material, easy operation, and precise effect. This method can be chosen to apply in cataract operation.

作者刘敏张斌宋健

机构地区解放军第广州军区武汉总医院神经外科

出处《中国实用医药》 2015年第35期26-27,共2页 China Practical Medicine

关键词白内障超声乳化术连续环形撕囊自体血 Cataract phacoemulsification Continuous circular capsulorhexis Autologous blood

分类号 R779.66 [医药卫生—眼科]

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参考文献4

1Mearza AA, Kulkami AA. Capsule staining techniques. J Cataract Refract Surg, 2004, 30(1):13-16.
2Mansour AM. Anterior capsulorhcxis in hypermature cataracts. J Calaract Refract Surg, 1993, 19(1):116-117.
3Mells GRJ, Waard PWT, Pameyer JH, et al. Trypan blue capsule stainimg to visualize the capsulorhexis in cataract surgery. J Cataract Refract Surg, 1999, 25(1):7-9.
4丛春霞,张金华.台盼蓝在白内障超声乳化手术中的应用[J].临床眼科杂志,2006,14(3):277-279. 被引量：2

二级参考文献24

1Dada VK,Sharma N,Sudan R,et al.Anterior capsule staining for capsulorhexis in cases of white cataract:comparative clinical study.J Cataract Refract Surg,2004,30:326-33.
2Ozkiris A,Arslan O,Cicik E,et al.Open-sky capsulorrhexis in triple procedure:with or without trypan blue?Eur J Ophthalmol,2003,13:764-769.
3Nodarian M,Feys J,Sultan G,et al.Capsulorhexis staining by trypan blue in mature cataract surgery.J Fr Ophtalmol,2001,24:274-276.
4Sturmer J.Cataract surgery and the "Blue Miracle".Klin Monatsbl Augenheilkd,2002,219:191-195.
5Singh AJ,Sarodia UA,Brown L,et al.A histological analysis of lens capsules stained with trypan blue for capsulorrhexis in phacoemulsification cataract surgery.Eye,2003,17:567-570.
6Skowronek M,Roterman I,Konieczny L,et al.The conformational characteristics of Congo red,Evans blue and Trypan blue.Comput Chem,2000,24:429-450.
7Horobin RW.The theory of staining and its practical implications.In:Bancroft JD,Stevens A (eds).Theory and practice of Histological Techniques,4th edn.Churchill Livingstone:Edinburgh,1996.81-98.
8Van Dooren BT,Beekhuis WH,Pels E.Biocompatibility of trypan blue with human corneal cell.Arch Ophthalmol,2004,122:736-742.
9Brat TH.Van Dooren,Peter WT.et al.Corneal Endothelial Cell Density After Trypan Blue Capsule Staining in Cataract Surgery.J Cataract Refract Surg,2002,28:560.
10Mells GRJ,Waard PWT,Pameyer JH,et al.Trypan blue capsule staining to visualize the capsulorhexis in cataract surgery.J Cataract Refract Surg,1999,25:7-9.