对于最大双边横向直肠衰退在广角外otropia 的结果
David D Chong1, Blake A Boehm2, Urvi Gupta1
1Case Western Reserve University School of Medicine, Cleveland, Ohio.
概括
10毫米的最大双边侧直肠肌肉衰退对于大角度外向变异 (50-64镜二光镜) 有效. 这种外科手术方法在这个患者群体中显示出75%的成功率,对于非常大角度外观变异的成功率较低 (≥65镜二光镜).
科学领域:
- 眼科医生 眼科 眼科
- 眼 手术 整形外科
- 儿科眼科医生 儿科眼科医生
背景情况:
- 广角外otropia 提出了手术挑战.
- 最大双侧直肠肌肉衰退 (10毫米) 是对这种情况进行评估的手术技术.
研究的目的:
- 为了评估患有大角度外 (≥50镜二光镜) 的患者的短期外科结果.
- 为了比较大角度外观变异 (50-64镜二光镜) 和非常大角度外观变异 (≥65镜二光镜) 的结果.
主要方法:
- 对22名经历最大双侧直肠肌衰退 (10毫米) 的患者进行了回顾性研究.
- 患者被划分为大角度 (50-64镜二光) 和非常大角度 (≥65镜二光) 的异质组.
- 排除标准包括之前的眼睛肌肉手术,神经学缺陷和三或四个肌肉手术.
主要成果:
- 大角组 (n=11) 的成功率为75%,而非常大角组 (n=11) 的成功率为16.7% (P=0.02).
- 在广角组中,不足校正率为18.7%,而在非常广角组中为83.3% (P=0.01).
- 远距离的平均术后外偏差在大角度组中为3.7镜二光,在非常大角度组中为28.0镜二光 (P=0.001).
结论:
- 最大双边横向直肠肌肉衰退 (10毫米) 对大角度外向变异 (50-64镜二光镜) 产生了良好的结果.
- 替代的外科手术技术可能更适合65镜二光子或更大的外观变异.
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