侧面带手术:可吸收和不可吸收的聚烯的比较. 的类型是否重要?
Malik Moledina1, Ibrar Ahmed2, Ananth Ranji1
1Department of Ophthalmology, Southend University Hospital, Southend, UK.
Eye (London, England)
|October 19, 2023
概括
这项研究比较了聚烯 (prolene) 和多银 (vicryl) 合物用于侧侧带 (LTS) 程序,用于治疗卷积性ectropion/entropion. 虽然这两种都有效,但维克瑞尔与更高的并发症率有关,包括眼松和感染.
科学领域:
- 眼科医生 眼科 眼科
- 眼镜塑料是一种眼镜塑料.
- 手术技巧 手术技巧
背景情况:
- 卷积性外皮和内皮是常见的眼状况.
- 侧侧带 (LTS) 程序是这些条件的外科选择.
- 用于将带连接到周骨的合选择可能会影响结果.
研究的目的:
- 为了比较使用可吸收的多聚黄素 (维克利尔) 和非可吸收的聚烯 (烯) 合物进行的侧侧带 (LTS) 手术的成功率和并发症率.
- 为了调查接材料是否会影响LTS手术中的重复手术和并发症率,用于卷积性ectropion/entropion.
主要方法:
- 进行了一项多中心的回顾性比较研究.
- 分析了使用vicryl或prolene接的1079个LTS手术 (2017-2022) 的数据.
- 并发症的发生率 (复发,衰退,感染,颗粒瘤,松等) 和重新手术率在接组之间进行了比较.
主要成果:
- 普罗林的整体并发症率为24.7%,维克利尔为29.7% (p=0.061).
- 与prolene相比,使用vicryl观察到术后残留眼松 (2.65%与0.51%) 的更高率,颗粒瘤 (2.24%与0.68%) 的更高率和线感染 (1.83%与0.17%) 的更高率 (所有p<0.05).
- 两组之间在失听率或重复手术率上没有发现统计学意义上的差异.
结论:
- 聚格拉克丁 (维克利尔) 和聚烯 (烯) sutures 都是有效的 侧侧带 (LTS) 程序 纠正 进化 ectropion/entropion.
- 使用维克里尔与特定并发症的统计学上显著增加有关:术后残留眼松,颗粒瘤和感染.
- 虽然脱皮率和重新操作率没有显著差异,但研究结果表明,不可吸收的聚烯线在尽量减少某些不良结果方面具有潜在的优势.
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