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巨大裂孔     
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  giant retinal tears
     After being widely used in the clinics, it has greatly improved the success rate of complicated retina detachments such as proliferative diabetic retinopathy, proliferative vitreo-retinopathy, giant retinal tears, traumatic retinal detachment and acute retina necrosis with retina detachment.
     大大提高了诸如增殖性糖尿病视网膜病变(proliferative diabetic retinopathy PDR)、增殖性玻璃体视网膜病变(proliferative vitreo-retinopathy PVR)、巨大裂孔性视网膜脱离(giantretinal tears)、外伤性视网膜脱离(traumatic retinal detachment)以及急性坏死性视网膜炎继发视网膜脱离等疾病的手术成功率。
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     Prognosis analysis of surgical therapy for giant retinal tears
     手术治疗巨大裂孔视网膜脱离的预后分析
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     Analysis in the Shape and Prognosis of Giant Retinal Tears
     视网膜脱离巨大裂孔与预后分析
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     Conclusion The multiple stepwise multivariate regression shows that the factors significantly influencing VR surgery are silicone tamponade, giant retinal tears, SF 6 tamponade, iatrogenic tear, anterior proliferative vitreoretinopathy (PVR), subretinal proliferation, PVR, C 3F 8 tamponade, operative frequency and choroidal detachments.
     结论多因素逐步回归分析显示影响VR术近期效果的显著因素为眼内填充硅油、巨大裂孔、眼内填充SF6、医源性裂孔、前部增殖性玻璃体视网膜病变(proliferativevitreoretinopathy,PVR)、严重视网膜下增殖、PVR、眼内填充C3F8、手术频次及脉络膜脱离
短句来源
     Sequential tamponade of gas for treating giant retinal tears after vitrectomy
     玻璃体术后连续气体充填治疗视网膜巨大裂孔
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  giant retinal tear
     In 15 eyes with giant retinal tear, 14 eyes ( 1415 93.3% ) were successful.
     15只眼巨大裂孔中14只眼(14/15,93.3%)视网膜成功复位。
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     Ultrasonographic diagnosis of 47 patients with giant retinal tear
     视网膜巨大裂孔47例的超声诊断
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     In 10 cases of giant retinal tear retinal detachment (7 cases retinal tear were larger than 180°,3 cases retinal tear were lager than 270°),9 cases (9/10)retinal was reatteched,1 case (1/10)retinal reattechment was uncomplete.
     共治疗了10例10眼巨大裂孔性视网膜脱离,其中裂孔超过180°者7眼,超过270°者3眼,经9~23个月随访,9眼完全复位,1眼部份复位。
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     Clinical application of perfluoro N octane in giant retinal tear surgery
     过氟-N-辛烷在视网膜巨大裂孔手术中的应用
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     Method 13 early giant retinal tear cases were treated altogether with perfluoropropane and perfluorodecalin.
     方法联合应用全氟丙烷和全氟萘烷治疗13例巨大裂孔性视网膜脱离。
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  giant tear
     Objective To study the surgical effects of retinal detachment with a giant tear (RDWGT)in high myopia patients.
     目的 观察高度近视患者巨大裂孔视网膜脱离(retinal detachment with a giant tear,RDWGT)的手术疗效。
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     Four eyes were PVR grade A, 4 eyes PVR grade B, 2 eyes PVR grade C1 and 1 eye PVR grade C2. Ten eyes underwent scleral encircling, and the 1 eye with giant tear was treated with vitrectomy and silicone oil fill.
     PVR分级A级4眼,B级4眼,C1级2眼,C2级1眼。 其中10眼行巩膜外环扎外加压术,巨大裂孔眼行玻璃体手术硅油填充。
短句来源
     However, the factors, including giant tear, PVR grade C3 and D, previous failed retinal detachment surgery, high myopia, had no significance with retinal redetachment(Ps > 0.05).
     术后视网膜再脱离与术前巨大裂孔、增生性玻璃体视网膜病变(PVR)-C3级以上、有视网膜脱离手术失败史、高度近视等因素无显著相关性(Ps>0.05)。
短句来源
     patients(15 eyes)with complicated retinal detachment were treated through vitreoretinal microsurgery ,in combination with scleral cerclage and intraocular packing with C_3F_8 gas. Eye conditions included :turbid refracting media in 1 eye ,giant tear in 3 ,PVR and traumatic traction bands in 8,macular hole in 3 eyes.
     作者应用现代玻璃体视网膜显微手术、结合巩膜环扎和眼内C_3F_8气体填塞,治疗复杂性视网膜脱离15例(15只眼),其中伴明显屈光间质混浊者1例,巨大裂孔3例,PVR与处伤性牵引者8例,黄斑裂孔3例。
短句来源
     The tear configuration was rotundity in 7 cases, rotundity together with horseshoe retinal tear in 1 case, giant tear in 1 case and dialysis of ora serrata in the other 2 cases.
     裂孔形态:7眼为圆孔,1眼马蹄孔合并圆孔,1眼为视网膜巨大裂孔,2眼锯齿缘截离孔。
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  giant retinal break
     Closed-globe injury was 17 cases and open-globe injury 68 cases in the total 85 cases,which included intraocular foreign body in 32 cases,giant retinal break 17 cases and traumatic retinal detachment 34 cases.
     85例(85眼)眼外伤中,闭合性眼外伤17例,开放性眼外伤68例。 其中眼内异物伤3 2例、巨大裂孔17例和外伤性视网膜脱离3 4例。
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      giant retinal tears
    Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: results at 18 months
          
    Sixty-five eyes with giant retinal tears previously reviewed at 6 months after vitrectomy and fluid/silicone-oil exchange were again reviewed 18 months after surgery.
          
    Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: 5 years follow-up
          
    A series of 64 eyes, in 64 patients with giant retinal tears, treated by vitrectomy and fluid/silicone-oil exchange, has been reviewed after 5 years.
          
    Perfluorocarbon liquids, including perfluorodecalin (PFD), are useful intraoperative tools in complicated vitreoretinal surgery, such as for giant retinal tears, PVR and intraocular foreign bodies.
          
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      giant retinal tear
    Use of fluorosilicone to unfold a giant retinal tear
          
    We unfolded and attached a giant retinal tear with an inverted edge using fluorosilicone oil while the patient was in the supine position.
          
    Factors predictive of poor visual outcome were: type of trauma (p = 0.0065) (ruptured globe); presence of giant retinal tear (p = 0.0253); and low preoperative visual acuity (p = 0.044).
          
    Eyes with giant retinal tear, penetrating ocular trauma or isolated retinal breaks in the posterior pole were not included in the study.
          
    Reattachment is analogous to the procedure used in reattaching a giant retinal tear.
          
      giant tear
    Perhaps there is a connection of the peripheral beltlike atrophy of retina with the giant tear of the retina along the ora serrata.
          
    The treatment of giant tear detachments using retrohyaloidal perfluorocarbon gases without drainage or vitrectomy
          
    In a pilot study, an expanding perfluorocarbon gas was injected into the retrohyaloidal space for treating giant tear detachments.
          
    Using the balloon-gas procedure with a single gas injection, a bubble was obtained that was large enough to tamponade a giant tear without prior drainage of subretinal fluid or vitrectomy.
          


    Twelve patients with huge rhegmatogenous retinal detachment were treated with electrocoagulation and/or cryosurgery supplemented with extrascleral buckling, annular knotting or macular sling technique. 11 cases were cured but failure occurred to one case. After treatment, the vision was improved in various degrees in different patients.It is concluded that even though the rhegma is large and the retina is wholly detached, the cure rate can be increased if careful preoperative examination and preparation is made,...

    Twelve patients with huge rhegmatogenous retinal detachment were treated with electrocoagulation and/or cryosurgery supplemented with extrascleral buckling, annular knotting or macular sling technique. 11 cases were cured but failure occurred to one case. After treatment, the vision was improved in various degrees in different patients.It is concluded that even though the rhegma is large and the retina is wholly detached, the cure rate can be increased if careful preoperative examination and preparation is made, appropriate operative measures selected, electrocoagulation and cryosurgery reasonably adjusted, and the rhegma securely buckled.

    本文报道以电凝或合并冷凝联合巩膜外加压术,环扎加压术,黄斑兜带加压术方法治疗12例巨大裂孔视网膜脱离,成功11例,失败1例。术后痊愈的11例,视力均有不同程度提高,因此裂孔虽大,视网膜全脱离,只要作好术前检查、准备,选择适当手术方法,合理调整电凝和冷凝的用量,将裂孔加压牢固,是能提高治愈率的。

    32 complicated cases (32 eyes)including giant tears,multiple tears in threequadrants,funnel-shaped detachments caused bysevere vitreous changes after cataract extraction orretinal detachment surgery,macular holes or holessurrounding the disc associated with large peripheralretinal tears and proliferative vitreoretinopathy.According to different conditions,the followingmethods of surgical treatment were used:slingtechnique was adopted for the posterior tears andmacular holes and a combination of two or more ofthe...

    32 complicated cases (32 eyes)including giant tears,multiple tears in threequadrants,funnel-shaped detachments caused bysevere vitreous changes after cataract extraction orretinal detachment surgery,macular holes or holessurrounding the disc associated with large peripheralretinal tears and proliferative vitreoretinopathy.According to different conditions,the followingmethods of surgical treatment were used:slingtechnique was adopted for the posterior tears andmacular holes and a combination of two or more ofthe following surgical procedures were used for tearsin other areas:scleral shortening was combined withforeign scleral implant,diathermy,cryotherapy,silicone buckle,encircling band,vitrectomy,sterile airinjected into the vitreous cavity.With thesecomprehensive methods,26 out of the 32 eyes werehealed.In addition,the sling technique and othercombined methods are discussed.

    1985年6~12月经我科一组治疗的视网膜脱离92例99只眼。手术后视网膜平复,裂孔封闭91眼(92.9%)。其中巨大裂孔、多发性大裂孔,分布于三个象限的多裂孔,白内障摘出术后或视网膜脱离手术失败玻璃体改变严重的漏斗状脱离,以及视乳头附近裂孔部分黄斑洞合并周围视网膜裂孔,玻璃体纤维条束严重的病例,具有上述情况手术治疗比较困难的病例共32只眼占32.3%o手术方法根据各例不同的条件选择不同的方式,如视乳头附近裂孔及黄斑洞用兜带术,其他部位裂孔选择巩膜缩短,电凝,异体巩膜填充、冷冻、硅胶填压,环扎术或玻璃体切割,玻璃体内注射消毒空气等多种方式联合使用,共治愈26眼,占疑难病例32只眼的81%。本文还对兜带术和各种联合手术作了简单介绍及谈了手术体会。

    50 cases (50 eyes) of various co-mplex retinal detachments (RD) were treated with a combination of vitrectomy,membrane peeling,intra-ocular air tamponade and scleral encircling.RD with opaque media,RD with proliferative vitroretinopat-hy,traction RD due to trauma or other factors,RD with posterior breaks,and giant tears were included.During the follow-up periors of 3—12 months,27 ca-ses (54%) obtained anatomic reatteachment,23 failed

    本文报告应用玻璃体切割、膜剥离、眼内空气填塞及巩膜环扎术治疗各种复杂性视网膜脱离(简称网脱)50例50眼。包括屈光间质混浊性网脱6例,伴 PVR 网脱23例,外伤或其它原因的牵引性网脱6例,后极裂孔网脱12例,巨大裂孔3例。追踪为三个月到一年。结果显示解剖学复位27例(54%),失败23例(46%),成功病例中,视力进步者24例,不变者2例,退步者1例。主要手术并发症有视网膜出血6例,脉络膜出血1例,医源性裂孔2例。晶体混浊加剧4例。

     
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