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涤纶(Teflon)巩膜填充治疗视网膜脱离的临床及实验研究

Clinical and Experimental Studies on Using Taflon Implanted into the Sclera in Retinal Detachment Surgery

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【作者】 郝永祥; 孙洪臣;

【Author】 Hao Yongxiang and Sun Hongchen (Department of Ophthalmology, Dalian Medical College, Dalian)

【机构】 大连医学院眼科教研组; 大连医学院眼科教研组;

【摘要】 <正> 本院自1979年开始应用医用涤纶布(Teflon)做巩膜层间及巩膜外填压治疗视网膜脱离,迄今已施术100例,效果良好。为了研究涤纶在巩膜内的组织反应及其对邻近的脉络膜、视网膜的影响,我们进行动物实验,并用硅胶海绵做对比。现将动物实验结果及临床疗效进行分析报告如下:

【Abstract】 This article reports using Teflon that was implanted into the sclera to treat 100 cases (103 eyes) of retinal detachment. The cure rate was obtained as 94.1% in short duration. 71 out of 103 cases were followed up for 6 months to over 3 years. The cure rate was obtained as 95.7% in long duration Parts of implanted material were drained out in three cases. 2.91% of drained rate was observed. The irritated symptoms would be quickly eliminated when the part of drained Teflon was cut off, not influencing the recovery of the retinal detachment. The final vision of 48 out of 71 eyes was better than that at leaving the hospital. None of the eyes was infected by bacteria.Teflon and silicon sponge were also implanted into rabbit sclera. The result showed that there were a lot of collagen fibers growing and healing between Teflon fibers. There was no change of the scleral thickness in outer and inner layers of implanted site. This provides an experimental proof that implanted Teflon could not be easily drained out in the clinical aspect.

  • 【文献出处】 眼科研究 ,Chinese Ophthalmic Research , 编辑部邮箱 ,1987年04期
  • 【被引频次】1
  • 【下载频次】1
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