球周麻醉与全身麻醉用于水平斜视手术的比较。
Peribulbar versus general anesthesia for horizontal strabismus surgery.
作者信息
Carvalho Keila Monteiro de, Millán Tatiana, Minguini Nilza, Wakamatsu Tais Hitomi
机构信息
Departamento de Oftalmologia/Otorrinolaringologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
出版信息
Arq Bras Oftalmol. 2008 May-Jun;71(3):352-6. doi: 10.1590/s0004-27492008000300009.
PURPOSE
To compare the results of strabismus surgery under peribulbar and general anesthesia in cases of small and moderate angle of horizontal strabismus.
METHODS
Medical records of eighty-four patients with small and moderate angle horizontal strabismus who underwent strabismus surgery were reviewed. Forty-two patients were submitted to the surgery under peribulbar anesthesia and forty-two under general anesthesia. The surgery was considered satisfactory when postoperative angle was 10 prism diopters or less.
RESULTS
Surgery was satisfactory in all patients. Mann-Whitney test showed no difference in the preoperative angle of deviation (p=0.366) and in the postoperative results (p=0.800) between the two groups. Adjusting for the variables age and type of strabismus (esotropia and exotropia), ANCOVA (analysis of covariance) results showed no statistical difference (p=0.368). There were no complications due to surgery or anesthesia in either group.
CONCLUSIONS
This study suggested that there was no difference between the postoperative results of strabismus surgery under peribulbar and general anesthesia in small and moderate angle of horizontal strabismus.
目的
比较在球周麻醉和全身麻醉下进行手术治疗小角度和中等角度水平斜视的效果。
方法
回顾性分析84例接受斜视手术的小角度和中等角度水平斜视患者的病历。42例患者接受球周麻醉下的手术，42例接受全身麻醉下的手术。当术后斜视度为10棱镜度或更小，手术被认为是满意的。
结果
所有患者手术均满意。曼-惠特尼检验显示两组间术前斜视度（p = 0.366）和术后结果（p = 0.800）无差异。校正年龄和斜视类型（内斜视和外斜视）等变量后，协方差分析（ANCOVA）结果显示无统计学差异（p = 0.368）。两组均未出现手术或麻醉相关并发症。
结论
本研究提示，在小角度和中等角度水平斜视患者中，球周麻醉和全身麻醉下斜视手术的术后效果无差异。
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