双边侧向直肠衰退的长期结果,使用修改的规范图来准间歇性外型变异的小过度校正
Sanghyuk Ahn1, Daniel Jinhag Baik1, Seung-Hyun Kim1
1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
Korean journal of ophthalmology : KJO
|August 22, 2024
概括
一种针对间歇性外热症的修改外科手术方法,在最小的过度校正下,实现了高的成功率. 这种方法可以降低双边侧直肠衰退的患者连续食otropia的风险.
科学领域:
- 眼科医生 眼科 眼科
- 手术技巧 手术技巧
- 眼的管理 管理 管理
背景情况:
- 间歇性外热症是一种常见的偏症,需要手术干预.
- 实现最佳的外科手术结果包括平衡对外偏差的纠正,尽量减少过度纠正 (异位偏差).
- 传统的外科规范可能会导致不良的过度纠正或不足纠正.
研究的目的:
- 为了评估双边侧直肠衰退修改后的手术规律图在治疗间歇性外转症时的有效性.
- 评估通过修改方法实现的小型术后过度校正率.
主要方法:
- 对242名间歇性外热症患者进行手术的回顾性图表审查.
- 应用一个修改后的规范图,以小的术后过度校正为目标 (在5镜二光透范围内).
- 长期跟踪 (至少3年) 以评估结果,复发率和过度校正率.
主要成果:
- 经过修改的规范图显示,经过平均38.6个月的随访后,长期成功率为83.06%.
- 在69.42%的患者中观察到早期术后过度纠正 (6PD内).
- 三年复发率为19.83%,过度纠正率为2.89%.
结论:
- 对双边横向直肠衰退的修改后规律图是有效的管理间歇性外向性.
- 这种方法成功地实现了微小的过度校正,减轻了连续食otropia的风险.
- 该研究表明,在手术管理中,疗效与安全之间存在良好的平衡.
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