无透过手术与手术后的纹症中的形切除术:一个元分析
Xiangting Peng1, Qiying Ling1,2, Xuanchu Duan3,4,5,6
1Aier Eye Hospital, Jinan University, Guangzhou, Guangdong Province, China.
BMC ophthalmology
|August 28, 2024
概括
这项元分析发现,带切除术和非穿透性带外科手术都会增加青光眼患者的纹. 非穿透性手术似乎对手术后的纹有较小的影响,而不是带切除术.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 视光眼管理 视光眼管理
背景情况:
- 玻璃眼需要手术干预来控制眼内压力.
- 脊椎切除术和非穿透性脊椎外科手术是对玻璃眼的既定程序.
- 手术后的纹是影响视觉结果的一个重大问题.
研究的目的:
- 为了比较轨道管切除术与非穿透轨道管外科手术对格洛科马患者手术后的标症的影响.
- 评估这些手术后手术诱导的纹症的发生率和严重程度.
主要方法:
- 系统的文献搜索进行到2024年4月.
- 五项符合条件的研究的元分析,涉及359只眼睛.
- 在术后6个月评估手术诱导的纹,遵守PRISMA指南.
主要成果:
- 这两种手术技术在6个月后导致了纹症的增加.
- 与非穿透性脊椎外科手术相比,脊椎切除术导致了统计学上显著的更高的形症发病率 (SMD = 0.40,P = 0.02).
结论:
- 脊椎切除术和非穿透性脊椎外科手术都可能在手术后长达6个月内诱导.
- 非穿透性轨道肌手术似乎对标症的影响不如轨道肌切除术那么明显.
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