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创伤性获得的孤立上直肠的临床特征和手术治疗

Xiangjun Wang¹, Binbin Zhu², Licheng Fu³

¹State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China.

European journal of ophthalmology

|May 6, 2024

概括

孤立的创伤性上直肠 (ASRP) 是罕见的,占眼手术的0.07%. 手术结果显示,在纠正垂直偏差方面,成功率为50%.

科学领域:

眼科医生眼科眼科
斯特拉比斯莫学是什么意思
眼运动神经科学是眼运动神经科学.

背景情况:

孤立获得的上直肠 (ASRP) 是一种极其罕见的疾病.
创伤病因很少被报告,因此需要更清楚地了解其临床概况和管理.

研究的目的:

划分孤立创伤性ASRP的临床表现.
描述治疗这种罕见疾病的外科手术方案和结果.

主要方法:

追溯的观察案例系列.
对创伤性隔离ASRP的2011-2020年患者记录的审查.
临床特征,成像和手术干预的分析.

主要成果:

确定了16例创伤性孤立ASRP (0.07%的眼手术).
阳性创伤是最常见的原因,其次是尖/不的创伤,事故和爆炸.
关键特征包括低,缺少超导,外,勒索,视力下降和死.
轨道成像显示了上轨道壁骨折 (3例) 和上直肠断裂 (7例).
下直肠衰退和/或上直肠切除是主要的外科手术程序.
手术前的垂直偏差 (45.60 ± 17.52 PD) 在术后减少到12.20 ± 12.97 PD.
在平均2270个月的随访中,观察到50%的成功率.

结论:

创伤隔离ASRP是一种罕见的实体,占眼手术的0.07%.
轨道成像对于诊断肌肉破裂,轨道骨折和相关病态至关重要.
上方直肠切除和下方直肠衰退是有效的手术策略.

关键词:

上方直肠麻的情况雄心勃勃的视野 (Amblyopia) 是一个很大的问题.不完全的眼运动神经麻.衰退和切除程序的衰退和切除程序

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