在甲状腺相关的眼科病变中进行过鼻腔内镜内介壁去压后增加的术后双眼症的分析
Suhui Zhu1,2, Rongjin Deng1,2, Jianhao Wu2,3
1Southwest Medical University, Luzhou City.
The Journal of craniofacial surgery
|November 26, 2024
概括
甲状腺相关眼科医症 (TAO) 的跨鼻内镜内介壁减压可以增加术后双眼视. 手术前的中间直肠肌肉体积可以预测这种风险.
科学领域:
- 眼科医生 眼科 眼科
- 内镜头骨底部手术 进行内镜头骨底部手术
- 内分泌学 在内分泌学.
背景情况:
- 甲状腺相关的眼科医症 (TAO) 是一种影响眼肌的自身免疫性疾病.
- 跨鼻内镜下介质壁解压是一种用于治疗TAO的手术技术.
- 手术后的双眼视是这种手术后的潜在并发症.
研究的目的:
- 在TAO患者中分析跨鼻内镜内介壁减压后新发病或恶化的双眼视率.
- 为了确定与手术后双眼视相关的因素.
- 探索改善手术结果的潜在标志物.
主要方法:
- 追溯分析中度至重度TAO患者的病历.
- 患者在全身麻醉下进行过鼻腔内透镜下介质壁解压.
- 评估的结果包括手术后的双眼视,,以及眼外肌肉体积变化.
主要成果:
- 在1个月和6个月后,分别在29.3%和15.4%的患者中观察到双流症 (新发病和恶化).
- 中间直肠肌体积在术后增加 (P <0.001).
- 术前中直肠肌肉体积较高与术后双眼视的增加有关 (P <0.001).
结论:
- 经鼻内镜下介质壁解压与TAO中术后双眼视的发病率增加有关.
- 中间直肠肌肉的变化与双眼视的发展有关.
- 手术前的中间直肠肌肉体积可以作为术后双眼视的预测标志物.
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