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经过跨结膜无切除玻璃切除术后低血压的危险因素
Takumi Ando1, Hiroko Terashima1, Kazuma Fujii1
1Department of Ophthalmology, Division of Ophthalmology and Visual Science, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.
PloS one
|April 28, 2025
概括
通过结膜无玻璃切除术 (TSV) 后意想不到的低血压与较长的轴长度和没有吸管有关. 外科医生应考虑在高风险患者中 suturing sclerotomy,以防止并发症.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 视网膜外科手术 视网膜外科手术
背景情况:
- 经结膜无视切除术 (TSV) 是一种微创手术技术.
- 手术后的低血压,眼内压力下降,可能导致并发症.
- 确定低血压风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 确定经结膜无切除术 (TSV) 后与意外低血压相关的危险因素.
主要方法:
- 追溯观察性研究分析了748名接受25-G或27-GTSV的患者的840只眼睛.
- 术后的低血压定义为眼内压 (IOP) <6 mmHg在术后的第一天.
- 进行了多变量分析,以确定重要的风险因素.
主要成果:
- 低位症发生在16.5%的病例中,与较长的轴长度 (AL) 和缺少眼内水栓显著相关.
- 患有较长AL (≥26毫米) 且没有吸管的患者患低血压的发病率更高.
- 低位症组经历了更多的手术后并发症,包括胆道和低位症巨病.
结论:
- 较长的轴长度和缺乏吸管是TSV后低血压的重要危险因素.
- 在患有AL≥26毫米且没有坦波纳的患者中,考虑进行硬质瘤 suturing 可能有助于预防低血压和相关并发症.
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