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Updated: Jul 5, 2025
11:19
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
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在下斜肌衰弱后的 fundus 扭曲
Zhale Rajavi1, Kaveh Nikanfar2, Marzieh Sharahi Dizabadi2
1Negah Aref Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Ophthalmic Epidemiology Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Ophthalmology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
概括
下斜 (IO) 肌肉的手术削弱有效地减少了下斜过度运动 (IOOA) 患者的 fundus 勒索. 大多数患者在手术后实现了正常或改善的 fundus torsion.
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:
- 低斜过度动 (IOOA) 可以导致显著的视力障碍.
- 经常需要进行手术来纠正IOOA及其相关的 fundus torsion.
研究的目的:
- 在被诊断为IOOA的患者中,评估下斜 (IO) 肌肉在手术削弱后的术后底扭伤.
- 为了评估IO myectomy和前置转移在纠正 fundus 勒索中的有效性.
主要方法:
- 一个干预病例系列包括37名IOOA (≥+1) 和手术前 fundus 照片的患者.
- 通过肌切除术或前置转移进行IO减弱.
- 随访3个月后的 fundus 摄影测量了磁盘角 (DFA) 的变化,以评估 fundus 扭曲.
主要成果:
- 两种IO myectomy和前部转移都显著减少了底部挤出 (平均DFA变化:分别为7.79°和6.05°).
- 在50%的肌肉切除患者和36.4%的前置移植患者中,实现了正常的底部扭曲 (0°-8°勒索).
- 在49%的患者中发现了残留的侵蚀,而5%的患者经历了诱导的侵蚀.
结论:
- 通过肌切除术或前置转移进行手术削弱IO,有效降低IOOA患者的 fundus 勒索.
- 客观测量证实,这些手术后,94.7%的患者的 fundus extorsion 减少.
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