在25-gauge帕斯普拉纳视切除术后的阴位,并将所有硬质瘤切除术都 suturing
Shogo Takahashi1, Tomoko Ueda-Consolvo1, Yuta Takata1
1Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan.
PloS one
|February 11, 2026
概括
在25度玻璃切除术中切除所有硬化瘤,导致术后低血压的发病率较低. 硫六化物 (SF6) 气体吸管降低了低血压风险,而重新手术增加了风险.
科学领域:
- 眼科医生 眼科 眼科
- 手术技巧 手术技巧
- 眼内压力管理 眼内压力管理
背景情况:
- 手术后的低血压是玻璃切除术后的潜在并发症.
- 尽量减少低垂体对于有利的视觉结果和防止进一步的并发症至关重要.
研究的目的:
- 为了评估25度玻璃切除术后手术后低血压的发生率.
- 评估与所有硬质瘤接相关的早期并发症.
- 在这种手术方法中确定影响低血压率的因素.
主要方法:
- 对458只眼睛进行了25度帕斯普拉纳视切除术,并进行了 sutured sclerotomies 的回顾性审查.
- 主要结局:术后第一天的眼内压力 (IOP).
- 二次结局:低血压和并发症的临床症状;低血压定义为IOP<5mmHg.
主要成果:
- 观察到术后低血压 (4.8%) 的发病率较低.
- 没有发生严重的低血压 (IOP 0-1 mmHg) 或相关的并发症,如内炎.
- 硫六化物 (SF6) 气体吸管显著降低了低血压风险 (1.3%与6.3%相比).
- 重复手术与较高的低血压发生率相关 (11.1%对4.1%).
结论:
- 在25度玻璃切除术中切除所有硬化瘤与术后低血压率有关.
- SF6气体吸管似乎可以防止低血压.
- 重复手术是患上术后低血压的一个危险因素.
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