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[格雷夫斯眼病患者的手术康复;经冠状入路眼眶减压术的良好效果]

[Surgical rehabilitation in patients with Graves' ophthalmopathy; favorable results of orbital decompression via coronal approach].

作者信息

van der Pol J P, Koornneef L, Gillissen J P

机构信息

Academisch Medisch Centrum, Orbita Centrum, afd. Oogheelkunde, Amsterdam.

出版信息

Ned Tijdschr Geneeskd. 1992 Oct 3;136(40):1971-4.

PMID:1407181
Abstract

Bilateral decompression of the orbit by a coronal approach was performed for cosmetic rehabilitation in 53 female patients with proptosis in the non-inflammatory stage after Graves' ophthalmopathy. Proptosis reduction averaged 5.9 mm Hertel value one year after surgery. All patients were satisfied with the cosmetic result obtained. Advantages of the technique used are: good access to all orbital walls facilitating adequate proptosis reduction; no visible scars after surgery; only very few complications. In our group there was no loss of visual acuity and the incidence of diplopia after surgery of only 4% is the lowest reported in the literature.

摘要

对53例格雷夫斯眼病非炎症期眼球突出的女性患者采用冠状入路进行双侧眼眶减压,以进行美容修复。术后一年眼球突出度平均降低5.9毫米(赫特尔值)。所有患者对获得的美容效果均满意。所采用技术的优点包括:能很好地显露所有眶壁,便于充分减轻眼球突出;术后无可见瘢痕;并发症极少。在我们的研究组中,没有视力丧失的情况,术后复视发生率仅为4%,是文献报道中最低的。

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