视网母细胞瘤中的眼:在马来西亚的一家高等医疗中心探索并发症和危险因素
Lay Hui Ng1, Li Yen Chan2, Nor Fadhilah Mohamad1
1Department of Ophthalmology, Faculty of Medicine, UM Eye Research Centre, University Malaya, Kuala Lumpur, Malaysia.
European journal of ophthalmology
|December 17, 2023
概括
视网膜母细胞瘤核化后的眼腔并发症很常见,其中最常见的是植入物暴露. 精细的外科接技术对于预防这些长期问题至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 手术科学 手术科学
背景情况:
- 视网母细胞瘤是一种常见的儿科眼癌.
- 核化是晚期视网膜母细胞瘤的标准治疗方法.
- 眼复杂症可能会影响患者的生活质量.
研究的目的:
- 评估视网膜母细胞瘤患者眼复杂症的发生率和类型.
- 确定这些并发症的危险因素和预防措施.
主要方法:
- 在2004年至2020年期间,对160名因视网膜母细胞瘤而经历核切除的患者进行了回顾性审查.
- 对人口统计,手术技术,植入物类型和术后并发症的分析.
- 详细记录并发症类型,包括植入物暴露,浅和颗粒瘤形成.
主要成果:
- 整体并发症率为28.8%,其中植入物暴露 (12.5%) 和浅下方 (10.6%) 是最普遍的.
- 多孔聚乙烯 (Medpor) 植入物与更高的暴露率有关,特别是在捐赠者膜盖上.
- 和结膜的单独层接显著降低了植入物暴露率.
结论:
- 在视网膜母细胞瘤的核化后,长期的眼球并发症很常见.
- 虽然许多并发症具有良好的结果,但有些需要手术干预.
- 密切地结和结膜层对于防止植入物暴露和确保更好的插座健康至关重要.
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