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该杂志编辑部讨论过脉络膜黑色素瘤眼球摘除的价值。美国的Zimmerman和MacLean曾指责眼球摘除术是加速疾病的发展和转移的因素。作者不完全赞同这个意见。认为重要的是手术过程中如何处理对病人更安全更有利。总的原则是术前、术中避免做易使眼压增高的操作。如眼球摘出术前测量~(32)P的探头,尤其需要作结膜切口时,某些操作是危险的。同样,局部透照时加压、病人用力揉眼都应避免。手术过程中分离肌肉和切断视神经时可产生高达300mmHg的压力。因此:(1)术前用甘露醇降低眼压。(2)手术在全麻下进行。(3)在2、4、7、1点处结膜作4个放射状切口分为四叶。(4)用电刀自切口分离球筋膜。(5)镊子轻轻抓住肌体用电刀切
The magazine’s editorial discusses the value of enucleation of choroidal melanoma. Zimmerman and MacLean in the United States have accused eyeball extirpation of factors that have accelerated the development and metastasis of the disease. The author does not fully agree with this opinion. What counts as important is how to treat patients safer and more advantageous during the procedure. The general principle is preoperative, intraoperative avoid easy to make intraocular pressure increased operation. Such as the eye extubation measurement of ~ (32) P probe, especially for the need for conjunctival incision, some of the operations are dangerous. Similarly, local transillumination pressure, the patient forced Rouyan should be avoided. Separation of muscle during surgery and cut off the optic nerve can produce up to 300mmHg pressure. Therefore: (1) preoperative mannitol to reduce intraocular pressure. (2) Surgery under general anesthesia. (3) at 2, 4, 7, 1 point conjunctival for 4 radial incision is divided into four leaves. (4) electric knife from the incision to separate the fascia. (5) Tweezers Gently grasp the body with electric knife