应用S-100可吸收的静血贴片在内内透视的乳囊静止术:一个随机对照试验
Hai-Sheng Zheng1, Xing-Wu Zhong, Jia-Yao Xu
1Hainan Eye Hospital and Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Haikou, Hainan Province, China.
Indian journal of ophthalmology
|January 24, 2025
概括
该S-100可吸收的静血贴片显著改善了内内镜乳静止术 (En-DCR) 的结果. 这种方法减少了出血和痕形成,导致治疗慢性乳囊炎 (CD) 的成功率更高.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 生物材料是一种生物材料.
背景情况:
- 慢性乳囊炎 (CD) 影响眼排水,通常需要手术干预.
- 末内镜性乳囊静止术 (En-DCR) 是一种常见的手术方法.
- 在En-DCR后优化伤口愈合和成功率仍然是重点领域.
研究的目的:
- 评估S-100可吸收血静性贴片在En-DCR后增强解膜粘膜愈合的疗效.
- 为了比较使用S-100贴片和不使用S-100贴片治疗的患者之间的术后出血,痕形成和颗粒瘤的发生率.
主要方法:
- 一项随机对照试验,涉及226名单边CD患者接受En-DCR.
- 患者被分为两组:一个接受S-100贴片 (A组) 和一个对照组 (B组).
- 在12个月的随访期间,评估了包括粘膜上皮质化,颗粒化,出血和骨透度在内的结果.
主要成果:
- S-100补丁组在2周后显示出显著改善的粘膜表皮质化 (96 vs 77名患者).
- 与B组相比,A组观察到减少痕形成 (4.7%与16.7%) 和颗粒瘤形成 (6.6%与17.6%).与B组相比,A组观察到减少痕形成 (4.7%与16.7%) 和颗粒瘤形成 (6.6%与17.6%).
- 骨穿透的成功率在A组 (92.5%) 比B组 (78.4%) (P<0.05) 高,术后出血较少.
结论:
- S-100可吸收的静血贴片的应用促进了En-DCR后的解剖性粘膜愈合.
- 该贴片有效地减少了术后出血,痕和颗粒瘤的形成.
- 使用S-100贴片可以提高En-DCR治疗慢性乳囊炎的整体成功率.
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