患有甲状腺眼病的患者的初始偏手术:不同类型手术的结果和剂量反应
Shiyu Tang1, Minghao Chen1, Yun Wen1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, 54 Xianlie Nan Road, Guangzhou, 510060, China.
International ophthalmology
|October 7, 2025
概括
单个直肠衰退是有效的甲状腺眼病 (TED) 垂直斜视,与引 (TS) 改善结果. 术前偏差显著影响了外科手术的剂量反应,影响了正的有效性.
科学领域:
- 眼科医生 眼科 眼科
- 眼 手术 整形外科
- 甲状腺眼睛疾病 甲状腺眼睛疾病
背景情况:
- 甲状腺眼病 (TED) 可能导致视,影响视力和生活质量.
- 在TED中,眼的手术干预是常见的,但对手术剂量反应的数据有限.
- 优化外科手术技术和了解剂量反应对于有效的TED管理至关重要.
研究的目的:
- 评估一大群患有甲状腺眼部疾病的患者初始眼手术的结果.
- 评估不同外科手术技术的剂量反应关系,包括直肠衰退和切术.
- 为了确定影响手术成功和TED的剂量反应的因素.
主要方法:
- 在2013年至2023年期间,对104名TED患者进行了初始眼手术的回顾性审查.
- 手术技术包括直肠衰退和切,用于偏差大于35镜二光透 (PD) 的引 (TS).
- 成功被定义为没有双眼视和残余偏差 ≤10 PD横向和 ≤5 PD垂直. 分析了每毫米直肠衰退 (DPR) 的偏差变化.
主要成果:
- 直肠衰退的成功率达到了70.65%,远高于切 (12.5%).
- 上方直肠衰退的成功率最高 (88.00%),其次是下方直肠 (70.00%) 和中间直肠 (38.46%).
- 手术前的偏差强烈影响了DPR,特别是在垂直肌肉手术中. 拉力增强了正,特别是对于较大的偏差.
结论:
- 单一直肠衰退是一种非常成功的方法,用于纠正甲状腺眼病中的垂直斜视.
- 拉力显著提高了对TED患者眼手术的有效性.
- 术前偏差是手术剂量反应的关键决定因素,垂直肌肉手术可以影响水平对齐.
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