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预防性胆管切除术在与致命武器相关的开放地球伤害中

Yağmur Seda Yeşiltaş¹, Ali Hakan Durukan¹

¹Department of Ophthalmology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara-Türkiye.

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES

|March 6, 2026

概括

帕斯普拉纳玻璃切除术与预防性胆管切除术对于致命的与武器有关的开放球伤害是有效的. 这种治疗可以改善视力和全球生存率,同时预防增殖性玻璃红蛋白病变.

科学领域:

眼科医生眼科眼科
创伤外科手术创伤外科
视网膜外科手术视网膜外科手术

背景情况:

与致命武器相关的开放球伤害 (DWOGIs) 是一种严重的眼睛创伤形式.
有效的管理策略对于保护这些患者的视力和眼部完整性至关重要.

研究的目的:

评估帕斯普拉纳视切除术 (PPV) 与预防性胆管切除术 (CR) 结合的解剖学和功能结果.
评估这种联合方法在患有DWOGI的患者中的有效性.

主要方法:

对于用PPV和预防性CR治疗的DWOGI患者的医疗记录的回顾性审查.
评估人口统计数据,损伤特征,视力敏度 (BCVA),增殖性玻璃色素病变 (PVR) 率,解剖成功和地球生存率.
分析包括2016年11月至2024年10月的数据.

主要成果:

分析了35名DWOGI患者的41只眼睛.
最初的BCVA很差 (平均2.62 logMAR),在光感知和指数计数之间有90.2%.
在平均随访32.8个月后,最终的BCVA显著改善 (平均1.18 logMAR),68.3%的人达到≥20/200;PVR率为14.6%,解剖成功率为85.4%,全球生存率为87.8%.

结论:

帕斯平面玻璃切除术 (PPV) 与预防性胆管切除术 (CR) 结合,是致命武器相关开放球伤害 (DWOGIs) 的有效治疗方法.
这种方法带来了显著的视觉改善,高度的解剖成功和有利的地球生存.
预防性CR有助于防止在严重的眼部创伤病例中发生增殖性玻璃视网膜病变.

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