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在治疗甲状腺相关的眼病症时,各种轨道减压技术的比较有效性:系统性审查和元分析

Wei Guo¹, Jialu Geng¹, Dongmei Li²

¹Beijing Tongren Eye Center, and Beijing Ophthalmology Visual Science Key Lab, Beijing Tongren Hospital, Capital Medical University, No.1 Dong Jiao Min Xiang, Beijing, 100730, China.

BMC ophthalmology

|December 19, 2024

概括

轨道减压手术有效地减少了甲状腺相关眼科病 (TAO) 的外眼. 侧向方法和脂肪去除技术显示出新出现的初级视力双视的最低率,改善了患者的治疗结果.

科学领域:

眼科医生眼科眼科
手术瘤学手术瘤学
内分泌学在内分泌学.

背景情况:

甲状腺相关的眼科病 (TAO) 需要轨道减压以改善功能和美观.
手术后的并发症,特别是新出现的初级视力双视,显著影响患者的满意度.
这项研究评估了TAO患者各种轨道减压技术的疗效和风险.

研究的目的:

系统地审查和比较不同轨道减压技术在TAO管理中的有效性.
评估各种手术方法后新出现的初级视力双视的发生率.
确定优化结果并最大限度地减少TAO治疗中的并发症的手术策略.

主要方法:

在PubMed,Embase和Cochrane图书馆数据库中进行了系统的文献搜索,截至2023年10月11日.
包括2008年1月1日至2023年2月22日期间发表的研究,使用随机效应元分析进行了分析.
网络元分析整合了直接和间接的证据,以比较外眼的减少和双眼盲的发生率.

主要成果:

分析了87项涉及5102名患者和8779项手术的研究.
所有技术都减少了外眼,三壁技术显示了最大的减少 (-5.80毫米).
侧向方法和脂肪去除除压缩表现出新出现的初级视力双视的最低发病率 (3%).

结论:

轨道减压是TAO的安全和有益的手术干预.
侧向方法和脂肪去除技术在预防手术后双眼视障碍方面似乎更为优越.
进一步的大规模,前性,随机化研究和长期随访是有必要的,以验证这些发现.

关键词:

双流症 (Diplopia) 是一种双流症.在外眼中,外眼.进行元分析分析.轨道压缩减压的方法甲状腺相关的眼睛疾病.

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