在儿童中使用横向直肠 fenestration 技术治疗间歇性外热性
Mohamed Elkhawaga1, Ahmed Kassem1, Amr Elkamshoushy1
1Ophthalmology Department, Alexandria University, Alexandria, Egypt.
概括
双边侧直肠肌肉结有效地治疗了儿童间歇性外,显著减少了眼睛的偏差. 这种手术方法在81%的儿科患者中取得了成功的结果,没有报告任何并发症.
科学领域:
- 眼科医生 眼科 眼科
- 儿科视障手术 儿科视障手术
背景情况:
- 间歇性外向性是儿童的常见形式.
- 手术干预通常是必要的,以纠正显著的偏差和改善双眼功能.
研究的目的:
- 评估横向直肠肌的双边化治疗儿科患者间歇性外的疗效.
- 评估与这种手术技术相关的对齐校正程度和并发症率.
主要方法:
- 预计将招收36名12岁以下的儿童,这些儿童患有基本或伪分歧过度间歇性异质.
- 手术过程涉及横向直肠肌的双边窗口.
- 成功被定义为在最后一次随访时的8镜二光透 (Δ) 内的术后对齐.
主要成果:
- 术前平均距离偏差为33.1Δ,在术后降至4.5Δ (P < 0.001).
- 术前近距离偏差的平均值为32.0Δ,在术后降至2.8Δ (P < 0.001).
- 在6个月的随访后,81%的患者取得了成功的结局;没有报告手术内或术后并发症.
结论:
- 双边横向直肠肌肉结是一种安全有效的手术选择,用于儿科间歇性外热症.
- 该程序导致偏差角度的显著和持续减少.
- 高的成功率和没有并发症支持其在治疗这种疾病中的使用.
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