在使用活性流体的单手法可化中,两件手工件之间的手术内参数的比较
Jerónimo Araño-Ferrer1, Ana Beatriz Medina-Perez1, Cyntia Solis-Hernandez1
1Department of Anterior Segment Surgery, Fundación Hospital Nuestra Señora de la Luz, Mexico City 06030, Mexico.
Diagnostics (Basel, Switzerland)
|October 16, 2024
概括
与Ozil手工件相比,Active Sentry (AS) 手工件在单手发酵过程中提高了前腔室的稳定性. 这一创新可以改善外科手术的结果,而不会影响切除核的效率.
科学领域:
- 眼科医生 眼科 眼科
- 手术技术 手术技术
- 白内障手术 手术 白内障手术
背景情况:
- 发泡化是一种标准的白内障手术技术.
- 保持前腔室的稳定性对于安全有效的白内障手术至关重要.
- 单手发酵技术旨在简化外科手术程序.
研究的目的:
- 为了比较前腔室稳定性和Ozil和Active Sentry (AS) 手持器之间的手术效率,在单手发酵过程中.
- 评估AS手套对手术前腔室不稳定性得分 (IACIS),累积消散能量 (CDE),可追踪性和手术持续时间的影响.
- 为了确定AS手套在单手白内障手术中与Ozil手套相比是否具有优势.
主要方法:
- 一项观察性和比较性研究,涉及接受单手发酵的患者.
- 患者被分为两组,使用AS或Ozil手套.
- 在所有手术中都保持了标准化参数,包括每象限的眼内压力 (IOP),真空和吸入流量.
主要成果:
- 与Ozil组 (0.63 ± 0.71) (p < 0.001) 相比,Active Sentry (AS) 手工组表现出明显较低的手术前腔室不稳定性得分 (IACIS) (0.10 ± 0.30).
- 与Ozil组 (24.57 ± 6.51 分钟) 相比,AS组的手术持续时间显著更短 (19.00 ± 5.44 分钟) (p < 0.001).
- 两种手工件之间的累积散射能量 (CDE) 或可追踪性得分没有显著差异.
结论:
- 活跃哨兵 (AS) 手柄显著改善前腔室稳定性,在单手发酵过程中.
- 在单手法可化中,AS手工件在切除核时保持了外科性能,而不需要辅助侧门.
- 这项研究是首次证明AS手工件在传统和单手法可化技术中增强前腔稳定性的能力.
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