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使用单个分裂片治疗分裂眼神经:临床经验和系统审查

Xiaoye Ran¹, Zixuan Zhang, Xinyue Dai

¹Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Plastic and reconstructive surgery

|March 13, 2026

概括

这项研究表明,使用预扩张的表面动脉前分支 (STA-Fbr) 或远距离的手臂动脉穿孔器 (dBAP) 片的单个分裂片,可以有效地重建分裂的眼神经病变. 在手术内进行的绿色氨酸血管造影 (ICGA) 可以确保同时成功修复双眼.

科学领域:

整形外科整形外科整形外科
眼科医生眼科眼科
遗传性神经瘤的管理遗传性神经瘤的管理

背景情况:

分裂眼神经是一种罕见的先天性疾病,具有显著的重建性挑战.
这项研究评估了单个分裂技术对中等到大眼病变的疗效.

研究的目的:

评估使用预扩张的表面动脉前分支 (STA-Fbr) 基和远距离基臂动脉穿孔器 (dBAP) 片的单个分裂片的结果.
为了比较鱼嘴与窗板分割模式的有效性.
评估手术内氨酸绿色血管学 (ICGA) 在指导重建中的作用.

主要方法:

在2005年至2024年期间治疗的26名患者的回顾性分析.
重建使用了STA-Fbr板 (n=11) 或dBAP板 (n=15).
在ICGA的指导下,进行了船体测绘,片分裂和 perfusion 评估;片被分成鱼嘴或窗口图案.

主要成果:

成功重建了11个中等和14个大病变.
ICGA准确地引导了片的分裂,并证实了充足的输液.
所有的片都没有出现并发症;系统审查证实了大型病变的片可靠性.

结论:

使用预扩展的STA-Fbr或dBAP片的单一分裂片技术可用于同时进行双眼重建.
ICGA的指导方针加强了片分裂和 perfusion 评估.
对于中型和大型的分眼神经病变,获得了有利的功能和美学结果.

关键词:

远距离的支臂动脉穿孔器.分裂的神经.眼重建眼重建眼重建表面动脉正面分支的片片

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