在前轨道切除术中术后的闭合吸管排水
Pankaj Gupta1, Manu Saini1, Vijay K Sharma1
1Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus
|December 12, 2023
概括
封闭式吸水管通过减少proptosis和眼皮胀来加速轨道质量切除后的恢复. 虽然改善了早期的结果,但排水不会影响前轨道切除术患者的长期结果.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
背景情况:
- 前侧轨道切除术是一种用于切除轨道质量的手术方法.
- 手术后的胀和亡可能会使康复复杂化.
研究的目的:
- 评估闭式吸管在管理前轨道切除术后的轨道质量切除中的有效性.
- 评估排水对早期和晚期术后康复的影响.
主要方法:
- 预期的,随机的比较研究.
- 25名接受前轨切除和大体切除的患者被分为排水 (n=12) 和无排水 (n=13) 组.
- 手术后的评估包括视力敏度,proptosis,疼痛,眼胀和眼睛的运动性.
主要成果:
- 在排水组中观察到更快的proptosis沉降 (p=0.041),眼胀 (p=0.04) 和改善的眼动力 (p=0.04).
- 30天后的结果在各组之间是可比的.
- 在这两组中都没有报告长期并发症.
结论:
- 封闭式吸水管可促进前腔轨道切除术后的早期术后康复.
- 排水促进了proptosis的更快解决,眼胀,以及眼睛运动缺陷.
- 外科医生可以根据预期的术后胀来个性化排水使用.
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