大切除术及其眼科影响:20年来的全面分析
Tae Eun Kee1, Chan Woong Joo1, Won Sup Lee2
1Department of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea.
Heliyon
|October 22, 2024
概括
大切除手术经常导致眼科并发症,95.6%的患者出现角膜和眼问题等问题. 轨道床切除和放射治疗是这些影响视力的并发症的重要危险因素.
科学领域:
- 眼科医生 眼科 眼科
- 头部和部手术 头部和部手术
- 在瘤学瘤学.
背景情况:
- 大切除术是头癌的关键手术.
- 这种程序可以显著影响轨道结构,导致各种眼科并发症.
研究的目的:
- 评估大切除术后的眼科并发症的程度和严重程度.
- 确定与这些并发症相关的风险因素.
主要方法:
- 一项20年后期的观察性队列研究,包括101名接受了大切除术的患者.
- 对人口统计,手术细节和眼科并发症的医疗记录进行分析.
- 统计分析,包括多变量分析,以确定风险因素.
主要成果:
- 95.6%的患者至少出现过一次眼部并发症,最常见的是影响角膜/结膜 (56%),眼 (48.4%) 和眼系统 (38.5%).
- 轨道床切除和放射治疗被确定为特定并发症的重要危险因素.
- 许多患者经历了多次并发症,需要进行二次眼科手术,如大克里奥西斯托里诺斯托米和塔索拉菲.
结论:
- 大切除术患者面临的高发病率的眼科并发症.
- 手术程度和辅助疗法,如放射治疗,是关键的影响因素.
- 多学科的方法对于管理这些并发症和改善患者的生活质量至关重要.
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