Nd∶YAG激光对诱导家兔视网膜-脉络膜静脉吻合术成功率的影响

doi:长春市科技局科技发展计划项目资助课题(长

Nd∶YAG激光对诱导家兔视网膜-脉络膜静脉吻合术成功率的影响

王锐^1,2,张小猛¹，于澎¹，庞利民^1*

1. 吉林大学第二医院眼科，吉林长春130041；2. 长春医学高等专科学校，吉林长春130031

收稿日期:2005-01-21 修回日期:1900-01-01 出版日期:2006-01-28 发布日期:2006-01-28
通讯作者: 庞利民

Effects of Nd∶YAG laser on induced chorioretinal venous anastomosis in retinal vein occlusion in rabbits

WANG Rui^1,2,ZHANG Xiao-meng¹,Yu Peng¹,PANG Li-min^1*

1. Department of Ophthalmology，Second Hospital，Jilin University，Changchun 130041,China； 2. Changchun Higher Training School of Medicine，Changchun 130031，China

Received:2005-01-21 Revised:1900-01-01 Online:2006-01-28 Published:2006-01-28
Contact: PANG Li-min

摘要/Abstract

摘要： 目的：探讨利用Nd∶YAG激光提高视网膜-脉络膜静脉吻合术的成功率。方法：灰色家兔20只（40只眼）用氩激光建立视网膜分支静脉阻塞(BRVO)模型，模型成功家兔随机分为实验组10只（20只眼），用氩激光随后用Nd∶YAG激光；对照组10只（20只眼），单独用氩激光诱发形成视网膜和脉络膜静脉间的吻合。结果：通过眼底荧光血管造影(FFA)检查和彩色眼底照像，实验组6只眼成功建立视网膜脉络膜吻合，检眼镜下激光击射部位静脉中断呈漏斗状陷入脉络膜；FFA显示远端及近端静脉内血流汇入吻合处，吻合形成时间为4~6周，对照组未形成吻合。观察2~6个月由激光击射引起的视网膜或玻璃体出血均在8周内吸收，未见其他严重并发症。结论：用Nd∶YAG激光可提高诱导视网膜脉络膜静脉吻合的成功率。

关键词: 外科, 视网膜-脉络膜静脉吻合术, 视网膜静脉闭塞, 外科学, Nd∶YAG激光

Abstract: Objective To improve the efficacy of the Nd∶YAG laser-induced chorioretinal venous anastomosis in the rabbits′eyes. Methods Immediately after branch retinal vein occlusion(BRVO) model was made by argon laser in 40 eyes of 20 normal rabbits， the rabbits were divided into two groups. In the first group （experimental group），there were 10 rabbits treated with the argon laser followed by the Nd∶YAG laser induced chorioretinal venous anastomosis. In the second group（control group）,the rabbits were treated only with the argon laser induced chorioretinal venous anastomosis. Results An anastomosis in experimental group was formed in 6 rabbits within 4-6 weeks after treatment while no anastomosis was formed in control group. During 2-6 months the hemorrhage of retina or vitrous with laser photocoagulation were absorbed within 8 weeks and no other severe complications were found. Conclusion Applying Nd∶YAG laser can improve the efficacy of chorioretinal venous anastomosis in the rabbits′eyes.

Key words: surgical, chorioretinal venous anastomosis, retinal vein occlusion, Nd∶YAG laser

中图分类号:

R774.1

王锐,张小猛，于澎，庞利民. Nd∶YAG激光对诱导家兔视网膜-脉络膜静脉吻合术成功率的影响[J]. J4, 2006, 32(1): 84-3.

WANG Rui,ZHANG Xiao-meng,Yu Peng,PANG Li-min. Effects of Nd∶YAG laser on induced chorioretinal venous anastomosis in retinal vein occlusion in rabbits[J]. J4, 2006, 32(1): 84-3.

[1]	龚喜龙, 杨光, 孙鸿斌, 王悦书. 四肢多发痛风石患者手术治疗临床效果分析(附23例报告)[J]. 吉林大学学报(医学版), 2018, 44(02): 394-397.
[2]	台银霞, 朱宪春, 唐冠群, 王秋玉, 毛智. 不同瓷表面处理对托槽与瓷面粘结强度的影响[J]. 吉林大学学报(医学版), 2015, 41(06): 1207-1210.
[3]	周辉, 孙彦龙, 王志明, 蒲九君, 钟艾凌, 阮伦亮, 靳凯, 耿明英, 杨刚. 显微手术辅助γ刀治疗鞍区大型脑膜瘤的临床效果和安全性评价[J]. 吉林大学学报(医学版), 2015, 41(06): 1255-1259.
[4]	刘鹏, 孙庆, 秦廷正, 孙东, 程杰, 尹小荣, 崔林, 秦向征. 成人脊柱标本单侧椎板入路双侧减压前后腰椎管参数CT测量结果比较[J]. 吉林大学学报(医学版), 2015, 41(05): 1050-1054.
[5]	张静文, 郑连文, 常笑语, 刘永正, 高利伟, 付璐璐, 徐影. 宫颈癌根治术后反射性尿闭1例报告并文献复习[J]. 吉林大学学报(医学版), 2015, 41(04): 854-857.
[6]	刘加贝，李忱，顾锐，高忠礼，王金成. 经半椎板切除入路显微操作摘除椎管内髓外硬膜下肿瘤的手术方法及效果评价[J]. 吉林大学学报(医学版), 2013, 39(5): 991-994.
[7]	韩斌\|鲁质成\|邬巍\|郭云宝 . 婴幼儿巨大脊髓脊膜膨出并发脑积水同期手术治疗效果分析[J]. J4, 2012, 38(6): 1180-1182.
[8]	钟淑霞, 李珊山, 姚蕾, 刘鹤松, 田亚萍, 温泉. 长脉冲可调脉宽1 064 nm Nd∶YAG激光在血管性皮肤病治疗中的临床应用[J]. J4, 2011, 37(1): 147-149.
[9]	孙超, 徐保锋, 鲁质成, 黄海燕, 邬巍. 鞘内注射万古霉素治疗开颅术后颅内感染疗效分析[J]. J4, 2009, 35(4): 735-737.
[10]	邱吉庆，宋红梅，别黎，许海洋，崔国振，赵刚. 顽固性癫痫的外科手术治疗及疗效评价[J]. J4, 2008, 34(6): 1063-1066.
[11]	唐成林,张静哲，王汉中,刘光耀. 外科不同术式治疗先天性马蹄内翻足临床疗效比较[J]. J4, 2008, 34(4): 698-701.
[12]	辛敏钢，叶虹，张耀中，巴凤海. 氯胺酮和异丙酚麻醉对胃癌手术患者围术期血浆细胞因子的影响[J]. J4, 2007, 33(6): 1070-1072.
[13]	王雪峰，尹永杰，杨华，王占义，王飞，穆亚冰，翟仁义. 呼出气氧浓度与血氧饱和度曲线在口腔颌面外科手术中的应用[J]. J4, 2007, 33(6): 1091-1093.
[14]	张显峰，徐保峰，朱战鹏，郭云宝，赵刚. 岛叶区胶质瘤显微外科治疗的效果评价[J]. J4, 2007, 33(4): 760-762.
[15]	张金男, 高宇飞, 赵丛海, 王立坤，赵勇. 神经外科术后中枢性尿崩症ADH变化曲线及其临床意义[J]. J4, 2006, 32(6): 1087-1090.