在帕斯普拉纳视切除术期间灌溶液温度对早期术后胆道血管的影响
Sevim Ayca Seyyar1, Ecem Önder Tokuç2, V Levent Karabaş2
1Department of Ophthalmology, Gaziantep University School of Medicine, Üniversite Bulvarı, 27310, Şehitkamil, Gaziantep, Turkey. aycayilmaz_409@hotmail.com.
International ophthalmology
|January 27, 2026
概括
在帕斯普拉纳视切除术 (PPV) 期间进行冷却灌,以剥离视网膜 (ERM),术后显著降低胆道 perfusion. 然而,冷却和室温灌溶液之间没有发现胆道血管的显著差异.
科学领域:
- 眼科医生 眼科 眼科
- 血管生物学 血管生物学
- 手术技巧 手术技巧
背景情况:
- 帕斯平面视切除术 (PPV) 是用于各种视网膜疾病的常见手术程序.
- 了解影响胆管血液动力学的手术内因素对于优化手术结果至关重要.
- 皮层膜 (ERM) 剥离是PPV的常见指示.
研究的目的:
- 为了比较冷却与室温灌溶液对胆道血管的作用.
- 为了评估ERM剥离PPV前后冠状血管变化的变化.
- 为了评估灌温度对早期术后胆管输液的影响.
主要方法:
- 一项前性随机比较研究,涉及54名接受23-G PPV的患者.
- 患者被分为两组:冷却灌 (第1组,n=27) 和室温灌 (第2组,n=27).
- 中央黄斑厚度 (CMT),底状厚度 (SFCT) 和状血管度指数 (CVI) 在术前和术后进行测量.
主要成果:
- 无论是冷却灌还是室温灌,都导致了PPV后的CMT,SFCT和CVI的显著减少.
- 在冷却灌组 (p=0.002) 中,发现SFCT和CVI的显著下降 (p=0.002).
- 在冷却和室温灌组之间没有观察到变化大小的统计学上显著差异 (p>0.05).
结论:
- 帕斯平面玻璃切除术 (PPV) 与手术后早期胆道 perfusion 的降低有关.
- 在PPV期间的冷却灌可能会导致更明显的,虽然在各组之间没有统计学意义的,在术后早期的胆管输液下降.
- 在PPV用于ERM剥离过程中使用的灌溶液的温度在两组之间没有导致早期术后胆道血管的显著差异.
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