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单侧双门内镜脊柱手术的眼睛安全性:一种基于光学一致性断层扫描和血管造影的分析

Ali Gulec¹, Ebubekir Eravsar¹, Sadettin Ciftci¹

¹Department of Orthopedics and Traumatology, Selcuk University, Konya 42130, Türkiye.

Journal of clinical medicine

|March 14, 2026

概括

单侧双门内镜 (UBE) 脊柱手术没有导致患者视力丧失或长期视网膜变化. 需要进一步的研究来确认UBE手术后的长期眼睛安全性.

科学领域:

眼科医生眼科眼科
神经外科神经外科
血管生物学血管生物学

背景情况:

单侧双门内镜 (UBE) 手术是一种微创脊柱手术.
人们担心UBE后可能出现的眼部并发症.
对UBE对视网膜微血管结构的影响的客观成像数据有限.

研究的目的:

评估UBE对视网膜和视神经微血管结构的影响,使用光学一致性断层扫描血管学 (OCTA).
评估与UBE相关的术后视力损失的风险.

主要方法:

包括32名为腰椎狭窄症接受UBE治疗的患者.
眼科检查和OCTA参数 (VD,FAZ,RNFL,CMT,SFCT) 在术前和术后1周和4周被评估.
排除标准包括全身或眼血管并发症.

主要成果:

没有患者经历了临床显著的视力丧失.
观察到状血管区域 (FAZ) 和上部/部血管密度 (VD) 的暂时变化.
只有优异的静脉疾病在手术后4周出现了统计学上显著的下降;其他参数恢复到基线或没有显著变化.

结论:

在短期内,UBE脊椎手术与临床上明显的视力损失无关.
在短期随访期间没有发现持续的OCTA检测到的微血管变化.
结果表明没有可检测的短期变化,而不是确定的眼睛安全性.

关键词:

八国合作组织 (OCTA)美国商业联合会 (UBE)缺血性视觉神经病变缺血性视觉神经病变光学连贯性断层扫描血管图谱视网膜微血管学脊柱外科手术脊柱外科手术单侧双门内镜检查

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