在手术期间,眼内压力在的位置上升的危险因素
Irem Durmus1, Merve Bulun Yediyıldız1, Hulya Yilmaz Ak1
1Health Sciences University Kartal Dr. Lutfi Kırdar City Hospital, Department of Anesthesiology and Reanimation, İstanbul, Turkey.
Journal of glaucoma
|December 31, 2025
概括
的特伦德伦堡位置 (STP) 在全腹腔镜切除术 (TLH) 期间显著增加眼内压力 (IOP). 这种效应在体重指数 (BMI) 高的患者中更为明显.
科学领域:
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
- 手术创新 在外科创新.
背景情况:
- 眼内压力 (IOP) 监测在手术过程中至关重要.
- 的Trendelenburg位置 (STP) 在各种手术中被使用,包括全腹腔镜切除子宫 (TLH).
- 对于STP对IOP的潜在影响,需要进行彻底的调查.
研究的目的:
- 评估STP在TLH期间对IOP的影响.
- 探索IOP变化与患者因素 (年龄,BMI,虹膜角) 和手术持续时间之间的相关性.
主要方法:
- 在TLH之前,期间和之后,在多个时间点进行眼科评估和IOP测量.
- 用于IOP评估的手持式接触度计.
- 记录手术持续时间和患者人口统计数据.
主要成果:
- 与基线相比,在所有测量时间点上,内压明显升高.
- 在年龄或虹膜角与IOP之间没有发现显著的相关性.
- 在手术结束时,观察到IOP和BMI之间的正相关性,以及IOP和手术持续时间之间的负相关性.
结论:
- 在TLH期间,STP显著增加了IOP.
- 更高的BMI与更明显的内压升高有关.
- 识别高风险患者可以为减轻眼部并发症的策略提供信息.
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