在全身麻醉下进行儿科和青少年斜视手术:功能性结果和安全性
Jakob Briem1, Sandra Rezar-Dreindl1, Lorenz Wassermann1
1Department of Ophthalmology and Optometry, Medical University of Vienna, 1090 Vienna, Austria.
Journal of clinical medicine
|February 26, 2025
概括
在全身麻醉下进行的儿科斜视手术是安全的,在眼睛对齐和立体视觉方面有显著的改善. 观察到眼心反射等并发症,但没有显著影响结果.
科学领域:
- 眼科医生 眼科 眼科
- 儿科手术 儿科手术
- 麻醉学 麻醉学
背景情况:
- 儿童眼手术需要仔细评估麻醉和手术安全性.
- 了解潜在的并发症和功能结果对于接受正的儿科患者至关重要.
研究的目的:
- 评估眼手术在全身麻醉下的儿科患者 (0-18岁) 的安全性和有效性.
- 分析眼科参数,包括偏差角度和立体视觉,手术后.
主要方法:
- 在2013年至2020年期间,对208名接受眼手术 (外otropia/esotropia) 的儿童进行了回顾性病例系列分析.
- 评估手术持续时间,麻醉时间,手术前后并发症,偏差角度,视力敏度和立体视力.
主要成果:
- 眼手术显示,偏差角度显著减少,立体视力增加 (从35%增加到80%以上).
- 在53%的患者中发生了手术前并发症 (例如,眼心反射),在22%的患者中发生了术后并发症 (例如,恶心,疼痛).
- 眼心反射在6岁以上的儿童中更频繁 (p=0.016);较长的麻醉/手术时间没有显著增加手术内并发症.
结论:
- 在全身麻醉下进行的儿科斜视手术是安全的,具有可接受的手术和麻醉并发症率.
- 该程序有效地纠正眼睛对齐并增强立体视觉,具有较低的重复治疗率.
- 限制包括回顾性设计,非标准化的文档和样本大小,可能会影响研究结果的一致性.
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