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[局部麻醉下使用可调节缝线进行斜视手术]

[Surgery of strabismus performed during topical anesthesia using adjustable sutures].

作者信息

Klyve P, Nicolaissen B

机构信息

Oyeavdelingen Klinikk for familie og barn, Ullevål sykehus, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1992 Feb 28;112(6):774-5.

PMID:1561601
Abstract

Retrobulbar, peribulbar and general anaesthesia for strabismus operations all share the disadvantage that they do not permit preoperative evaluation of the effect of the operation. To overcome this problem, we now operate selected cases in topical anaesthesia, using adjustable sutures. In addition to using adjustable sutures in recession, we have developed a method of adjustable resection. During a six month period, 70% of our grown-up patients were operated by this method. We find it a useful supplement to traditional strabismus surgery, also in reoperations and in operations on paretic muscles.

摘要

球后麻醉、球周麻醉和全身麻醉用于斜视手术均存在一个缺点,即无法在术前评估手术效果。为克服这一问题,我们现在对部分病例采用表面麻醉并使用可调节缝线进行手术。除了在徙后术中使用可调节缝线外,我们还开发了一种可调节切除术。在六个月的时间里,我们70%的成年患者采用了这种方法进行手术。我们发现,这种方法对于传统斜视手术来说是一种有用的补充,在再次手术以及麻痹肌手术中同样如此。

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