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3D可视化技术在年龄相关性白内障超声乳化术中的效率和安全性 被引量:4
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作者 武晨 陈庆中 +1 位作者 范巍 张广斌 《国际眼科杂志》 CAS 北大核心 2022年第4期662-665,共4页
目的:探讨3D可视化技术辅助下行白内障超声乳化联合人工晶状体(IOL)植入术的效率和安全性。方法:前瞻性非随机对照研究。选取2020-01/06在我院行白内障超声乳化联合IOL植入术治疗的年龄相关性白内障患者100例103眼,根据患者自主选择的... 目的:探讨3D可视化技术辅助下行白内障超声乳化联合人工晶状体(IOL)植入术的效率和安全性。方法:前瞻性非随机对照研究。选取2020-01/06在我院行白内障超声乳化联合IOL植入术治疗的年龄相关性白内障患者100例103眼,根据患者自主选择的手术方式进行分组:术中使用传统双目显微镜为对照组52例53眼;术中使用Ngenuity 3D设备为3D组48例50眼,3D组根据病例纳入时间分为2020-01/03为3D-1组24例25眼,2020-04/06为3D-2组24例25眼。记录三组患者的总手术时间及各步骤(撕囊、超声乳化、吸除皮质、IOL植入、吸除黏弹剂)操作时间、超声乳化时间(UST)、累计能量复合参数(CDE)、液流损耗、并发症情况。比较三组患者术前和术后1mo裸眼视力(UCVA)、最佳矫正视力(BCVA)、眼压(IOP)和角膜内皮细胞计数(CECC)。结果:3D-1组总手术时间、撕囊时间、超声乳化操作时间、吸除黏弹剂时间显著高于对照组(均P<0.01)。3D-2组总手术时间和手术各步骤时间与对照组相比均无差异(均P>0.05)。3D-1组术中UST、液流损耗、CDE显著高于对照组(均P<0.05)。3D-2组术中各参数与对照组相比无差异(均P>0.05)。三组间患者术后1mo UCVA、BCVA、IOP、CECC比较均无差异(均P>0.05)。结论:3D可视化技术下行白内障超声乳化联合IOL植入术安全有效,经过一定的学习曲线后,其手术效率与传统双目镜相比无显著差异。 展开更多
关键词 3D技术 白内障 超声乳化术
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虹膜纹理引导的飞秒激光囊膜标记法在Toric IOL植入中的应用 被引量:2
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作者 陈庆中 王晶 张广斌 《国际眼科杂志》 CAS 北大核心 2021年第2期295-299,共5页
目的:对比飞秒激光囊膜标记(FLACM)法与裂隙灯下手工标记(SAMM)法的Toric IOL轴位准确性和术后效果。方法:将拟行白内障超声乳化联合Toric IOL植入术的患者分为两组,分别采用FLACM法(25例25眼,FLACM组)与SAMM法(25例25眼,SAMM组)对散光... 目的:对比飞秒激光囊膜标记(FLACM)法与裂隙灯下手工标记(SAMM)法的Toric IOL轴位准确性和术后效果。方法:将拟行白内障超声乳化联合Toric IOL植入术的患者分为两组,分别采用FLACM法(25例25眼,FLACM组)与SAMM法(25例25眼,SAMM组)对散光轴位进行标记。评估比较术后两组患者裸眼远视力(UCDVA)、最佳矫正远视力(BCDVA)、残余散光(RA)、IOL轴位偏离度、总调制传递函数(MTF Total)。结果:术后1mo,FLACM组UCDVA(LogMAR)显著优于SAMM组(0.15±0.09 vs 0.22±0.11,P<0.05);FLACM组术后RA和IOL轴位偏离度均显著低于SAMM组(0.30±0.18D vs 0.64±0.28D,P<0.05;3.64°±1.68°vs 5.40°±3.44°,P<0.05);两组BCDVA和MTF Total均无差异(P>0.05)。术后UCDVA(LogMAR)与RA(r=0.350,P<0.05)、IOL轴位偏离度(r=0.369,P<0.05)呈正相关,与MTF Total值呈负相关(r=-0.290,P<0.05);术后RA与IOL旋转度呈正相关(r=0.431,P<0.05)。结论:FLACM法标记的Toric IOL轴位比SAMM法更加精确,从而获得更好的散光矫正效果和术后视力。 展开更多
关键词 白内障 散光 飞秒激光 囊膜标记 TORIC人工晶状体
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Expression changes of nerve cell adhesion molecules L1 and semaphorin 3A after peripheral nerve injury 被引量:1
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作者 Qian-ru He Meng Cong +5 位作者 qing-zhong chen Ya-feng Sheng Jian Li Qi Zhang Fei Ding Yan-pei Gong 《Neural Regeneration Research》 SCIE CAS CSCD 2016年第12期2025-2030,共6页
The expression of nerve cell adhesion molecule L1 in the neuronal growth cone of the central nervous system is strongly associated with the direction of growth of the axon, but its role in the regeneration of the peri... The expression of nerve cell adhesion molecule L1 in the neuronal growth cone of the central nervous system is strongly associated with the direction of growth of the axon, but its role in the regeneration of the peripheral nerve is still unknown. This study explored the problem in a femoral nerve section model in rats. L1 and semaphorin 3A m RNA and protein expressions were measured over the 4-week recovery period. Quantitative polymerase chain reaction showed that nerve cell adhesion molecule L1 expression was higher in the sensory nerves than in motor nerves at 2 weeks after injury, but vice versa for the expression of semaphorin 3A. Western blot assay results demonstrated that nerve cell adhesion molecule L1 expression was higher in motor nerves than in the sensory nerves at the proximal end after injury, but its expression was greater in the sensory nerves at 2 weeks. Semaphorin 3A expression was higher in the motor nerves than in the sensory nerves at 3 days and 1 week after injury. Nerve cell adhesion molecule L1 and semaphorin 3A expressions at the distal end were higher in the motor nerves than in the sensory nerves at 3 days, 1 and 2 weeks. Immunohistochemical staining results showed that nerve cell adhesion molecule L1 expression at the proximal end was greater in the sensory nerves than in the motor nerves; semaphorin 3A expression was higher in the motor nerves than in the sensory nerves at 2 weeks after injury. Taken together, these results indicated that nerve cell adhesion molecules L1 and semaphorin 3A exhibited different expression patterns at the proximal and distal ends of sensory and motor nerves, and play a coordinating role in neural chemotaxis regeneration. 展开更多
关键词 nerve regeneration neural cell adhesion molecule L1 semaphorin 3A sensory nerve motor nerve peripheral nerve injury chemotaxis regeneration neural regeneration
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