带有或不带有切除术的升降器手术,以纠正公平功能先天性亡:一个随机对照试验
Mostafa M Diab1,2, Taha A Ashraf Taha3, Nada K Abdelsattar3
1Department of Ophthalmology, Faculty of Medicine, Fayoum University, Al-Fayoym, Egypt.
概括
修改的升降器切除 (mLR) 提供优异的升降器功能 (LF) 改善和较少的并发症相比,与tarsoconjunctival mullerectomy (LR plus) 的升降器切除用于先天性死手术.
科学领域:
- 眼科医生 眼科 眼科
- 儿科手术 儿科手术
- 眼镜塑料是一种眼镜塑料.
背景情况:
- 遗传性阴是一种常见的眼缺陷.
- 公平的升降器功能 (LF) 提出了独特的外科手术挑战.
- 手术正的目的是改善视觉功能和美容.
研究的目的:
- 为了比较两个手术技术的功能和化品结果,用于与公平的LF. LF. 的先天性瘤.
- 为了评估以尾结膜切切除术 (LR plus) 与修改式切除术 (mLR) 的升降器切除.
主要方法:
- 一项前性,随机的,受控的双盲试验,涉及34名儿童 (6-12岁) 患有单边先天性肺和公平的肺结核.
- 患者被随机分配到LR加 (n=16) 或mLR (n=18).
- 手术后的评估包括边缘反射距离1 (MRD1),LF,斜视,角膜染色,眼,轮和毛角度在1,3,6和12个月.
主要成果:
- 这两种技术都显著改善了MRD1,没有跨组差异.
- 在mLR组显示显著更大的LF改善 (11.28毫米对比7.38毫米在12个月) 和较少的斜眼和角膜染色.
- mLR导致了更好的眼轮和更少的并发症 (5.6%与LR plus的18.8%相比).
结论:
- 无论是LR加和mLR都有效治疗具有公平LF的先天性结核病.
- mLR提供了卓越的LF改善,减少了斜眼和角膜并发症,并增强了眼轮.
- 建议mLR作为这个患者群的首选手术技术.
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