治疗东亚眼上部缩症的逐步管理策略
Xianyu Zhou1, Xue Dong2, Zhaoqi Yuan1
1Department of Plastic and Reconstructive Surgery, The Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Doctor's Office, 16th Floor of the First Building, 639 Zhi Zao Ju Road, Shanghai, People's Republic of China.
Aesthetic plastic surgery
|August 25, 2025
概括
本研究提出了一种逐步的手术策略,以有效地纠正因白瘤过度纠正和白瘤整形而导致的阳性上眼收缩 (UER). 这种技术提供了有利的结果, 缓解症状和改善眼对称性.
科学领域:
- 眼科 眼科
- 整形外科
背景情况:
- 东亚人中阳性上眼收缩 (UER) 的发生率增加.
- UER通常是白血病过度纠正和不适当的白血病整形的结果.
- 需要有效的手术纠正策略.
研究的目的:
- 介绍轻度至重度阳性UER的逐步手术治疗策略.
- 评估这种技术的麻醉外科结果.
- 分析患者的有效性和安全性.
主要方法:
- 从2018年至2022年进行逐步手术修复的212名患者 (264个眼) 的回顾性评估.
- 这一策略包括前痕释放,升高肌肉复合体衰退/延长以及轨道脂肪.
- 通过临床症状,眼对称性和MRD1来评估结果.
主要成果:
- 在212名患者中,对264个眼进行了逐步的治疗.
- 由白血病过度纠正 (115例) 和不适当的白血病整形 (149例) 引起的.
- 术后MRD1显著降低 (p < 0.01),超过90%的症状缓解和88. 20%的良好/ 相当对称.
结论:
- 逐步管理策略有效地纠正轻度至重度的阳性UER.
- 这种方法提供了简单,适当的修复和良好的麻醉手术结果.
- 这种策略适用于由于白血病过度纠正和不适当的白血病整形而导致的UER.
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