老年人与年轻人的内透镜乳囊鼻术的结果:比较分析
Ran Ben Cnaan1, Anat Wengier2, Maxim Bez1
1Division of Ophthalmology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel; Gray Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
|February 3, 2026
概括
与年轻成年人相比,80岁及以上的非常老年患者在鼻管阻塞的内镜乳囊静止术 (DCR) 后经历了类似的结果. 仅仅是年龄不应该阻止这种微创手术.
科学领域:
- 眼科医生 眼科 眼科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
背景情况:
- 主要获得的鼻管阻塞 (NLDO) 影响眼排水.
- 内镜式乳囊静脉切除术 (DCR) 是一种微创的外科选择.
- 高龄对DCR结果的影响需要评估.
研究的目的:
- 为了确定80岁以上的年龄是否独立地影响初级获得NLDO的内镜DCR后的结果.
- 为了比较80多岁的年轻人与年轻成年人的内镜DCR的安全性和有效性.
主要方法:
- 对346名接受内鼻性DCR (2011-2023) 的成年人进行了回顾性队列研究.
- 31名患者年龄≥80岁.
- 使用卡普兰-梅尔曲线和考克斯模型,在12个月的中位数随访后评估的结果 (病情,症状缓解,并发症,修订).
主要成果:
- 八代人有更高的高血压和甲状腺功能低下的比率.
- 年龄组之间的成功率 (解剖学和功能) 相当于年龄组之间的成功率 (分别为83.9%与84.1%和74.2%与76.2%).
- 并发症和修订率没有显著差异;80岁以上的年龄不是失败的独立预测因素.
结论:
- 内镜DCR在与年轻成年人相比,在非常老年患者中显示出同等的安全性和有效性,尽管系统性发病率较高.
- 仅仅是时间学年龄不应该是内镜DCR的禁忌.
- 这些发现支持向老龄化人口提供最小入侵的眼手术.
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