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关于在睫状体平坦部作手术切口的问题,中医古书中已有较详细的记载。明末清初黄庭镜所著的《目经大成》一书中曾指出:金针拨障术的切口部位是在“风轮与外眦相半正中插入”。即角膜与外眦之中点,相当于角膜缘外4～5毫米处。此睫状体平坦部作切口,虽有悠久的历史,但到目前,很多学者对这种手术切口在认识上还有分歧。有的学者把睫状体视为“危险区”,认为在该部作切口,容易发生出血和交感性眼炎。但也有的学者认为:在该部作切口进行手术,不但安全,而且还有不少优点。
On the flat ciliary body for surgical incision problems, ancient Chinese medicine has been more detailed records. At the end of the Ming and the early Qing Huang Tingjing’s book The Book of Changes, a book once pointed out: the lutectomy of the luteal part of the incision is in the “half of the middle of the rotor and nephew insert.” That is, the midpoint of the cornea and leprosy, equivalent to 4 to 5 mm outside the limbus. This ciliary body flat for incision, although a long history, but up to now, many scholars on this surgical incision in the understanding there are differences. Some scholars ciliary body as a “danger zone”, that in the Department for incision, prone to bleeding and sympathetic ophthalmia. However, some scholars think that it is not only safe but also has many advantages to perform incision in the department for surgery.