一个状静脉压缩辅助器用于手术切除可伸缩的轨道静脉形
Jinhua Liu1, Cuihong Liu1, Keqin Long2
1Department of Ophthalmology, Xi'an Fourth Hospital, Xi 'an, Shaanxi Province, China.
Orbit (Amsterdam, Netherlands)
|August 19, 2024
概括
外部部压缩有效扩张轨道静脉形 (VM) 进行外科切除. 这种安全的技术使得大多数轨道VM患者的病变被成功移除并缓解了症状.
科学领域:
- 眼科医生 眼科 眼科
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 轨道静脉形 (VM) 由于边界模糊和出血而存在手术挑战.
- 目前用于可伸缩轨道VM的手术技术往往不足以进行完全切除.
研究的目的:
- 为了研究外部部压缩在手术切除过程中促进轨道静脉病变的手术内扩张的有效性.
- 评估该技术在轨道VM患者的安全性和结果.
主要方法:
- 18名患有可伸缩静脉异常的患者在全身麻醉下使用n-butyl-2-cyanoacrylate进行了栓塞.
- 在栓塞之前,施加外部部压缩 (35-40 mmHg) 来扩张病变.
- 手术程序和手术前后的眼部症状变化都被仔细记录下来.
主要成果:
- 在所有18名患者中都实现了完整或亚总的病变切除.
- 十七名患者经历了完全缓解症状,没有瓦萨尔瓦机动诱导的膨胀.
- 报告了一些轻微的并发症,包括三名患者的短暂视力敏度下降,但没有视力丧失.
结论:
- 通过关静脉压缩增强的直接轨道栓塞是治疗轨道静脉的安全有效方法.
- 这种技术为管理具有挑战性的轨道静脉形提供了令人满意的结果.
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