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对治疗良性基本白血栓的最小侵入性部分耳骨髓切除术的有效性:使用扬科维奇尺度和白血栓残疾指数的研究

Semih Doğan¹, İbrahim Edhem Yilmaz², Şeyhmus Ari³

¹Department of Health Science, Gelisim University, İstanbul, Turkey.

Ophthalmic plastic and reconstructive surgery

|February 13, 2025

概括

最少侵入性的部分口肌切除术显著改善了良性基本血的患者的症状和日常功能. 这种手术方法为那些对肉毒素治疗无反应的人提供了持续的缓解.

科学领域:

眼科医生眼科眼科
神经外科神经外科
医疗技术医疗技术医学技术

背景情况:

良性精髓血栓 (BEB) 是一种神经运动障碍,导致 involuntary 眼关闭.
毒素注射是一种常见的治疗方法,但随着时间的推移,它可能变得无效.
对于耐火性BEB病例,需要有效的外科干预.

研究的目的:

为了评估BEB的微侵袭性局部口肌切除术的有效性.
评估詹科维奇评分表 (JRS) 和白发作残疾指数 (BDI) 作为结果指标.
为了确定手术程序的长期疗效和安全性.

主要方法:

对18名BEB患者 (36只眼睛) 的回顾性研究,对肉毒素无反应.
在2018年至2022年期间进行的部分口肌切除术.
术前和术后1,3,6,12个月收集的JRS和BDI得分.

主要成果:

手术后1年,JRS中位数提高了50% (7.5到3).
在手术后1年,BDI中位数提高了47.22% (20至9.5).
改善在统计学上显著 (p < 0.001) 和持续;没有重大并发症报告.

结论:

最少侵入性的部分状骨髓切除术对BEB患者有效,这些患者对肉毒毒素耐药.
该程序提供显著和持续的症状和功能改善.
在BEB治疗中,JRS和BDI是评估手术结果的宝贵工具.

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