诊断性玻璃体切除术的研究进展

Development of Diagnostic Vitrectomy

诊断性玻璃体切除术是通过获取玻璃体、视网膜或脉络膜标本,结合相关实验室检查技术,对原因不明或传统治疗无效的眼内炎性疾病及恶性肿瘤等为明确病因及指导后续治疗而采用的一种有效诊断方法。伴随着玻璃体视网膜手术的微创化及实验室诊断技术的发展,诊断性玻璃体切除术的敏感度和特异度进一步提高。本文对诊断性玻璃体切除术的适应证、标本采集与处理、实验室检测方法及微创玻璃体切除术的进展进行综述。

Diagnostic vitrectomy is a procedure that can obtain vitreous,retina or choroid specimens from patients with intraocular inflammation or malignant tumors of obscured etiology or irresponsive to treatments.An accurate diagnosis could be obtained from vitrectomy specimens by using related laboratory diagnostic technologies.Diagnostic vitrecomy with micro-incision and the developed laboratory diagnostic technology increase the specificity and sensitivity of disease diagnosing.The review summarized the surgical indications of diagnostic vitrectomy,specimen collection and process,methods of laboratory diagnostic technology,and the development of diagnostic vitrectomy.